Physician Coding Review Specialist - REMOTE – reputed company Store

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Department:

10417 reputed company reputed company Cycle - Coding & HIM Support reputed company

Status:

Full time

Benefits Eligible:

reputed company

Hours Per Week:

40

Schedule Details/Additional Information:

Fully Remote

Major Responsibilities:

• Review assigned codes, which most accurately describe reputed company documented diagnosis and/ or procedure according to established CPT, HCPCS, and ICD-10-CM coding guidelines along with modifier usage and medical terminology. Monitor reputed company coding accuracy at various reputed company of detail and maintain coding reputed company as needed. reputed company coding issues and review coding inaccuracies to reputed company areas of improvement. Report or resolve escalated issues as necessary.
• Responsible for reviewing Clinician documentation and billed codes for Medical Group physicians and non-physician clinicians. Review of medical records in collaboration with key stakeholders such as Internal Audit, Compliance, and Clinic Operations. Responsible for completing reputed company certified reputed company reputed company reviews. Working in collaboration with Coding Production Leads and Supervisors.
• Follows the prospective and/or retrospective review plan to sample employed Clinician's medical record documentation in comparison to services selected for billing, based on best reputed company methodologies which will be presented and reviewed with Clinicians to reputed company feedback on reputed company coding and documentation practices.
• Follows the necessary schedules for team assignments of documentation/coding accuracy. Conducts required, reputed company reviews per the established Clinician Documentation Review Plan and generates reputed company reports for reputed company Coding leadership and Provider Compliance Committee. Develops mechanisms to identify specific reputed company issues for reputed company Clinician to allow for reputed company follow-up reviews to identify improvement/correction of those reputed company for which the Clinician has received an education.
• Ensures compliance with the system Clinician Documentation Review Plan escalation process for any Clinician who is not successful in meeting the minimum acceptable reputed company. Provides feedback reputed company documentation issues are identified that need improvement. Conducts reputed company reviews requested by the Compliance department, clinic administration, and reputed company Coding leadership. Utilizes monitoring tools or other applications to reputed company and report the reputed company of the Clinician Documentation & Coding Accuracy Plan and for the evaluation of coding reputed company standards.
• Identifies, evaluates and acts to resolve any barriers to meeting documentation standards. Provides education/feedback to the department Educators and Coding Liaisons. Maintains coding reputed company standardized reporting mechanisms. Provides standardized statistical reports of coding reputed company information to reputed company Coding leadership and other appropriate parties.
• Identifies and trends coding reputed company issues/concerns. Recommends coding accuracy improvement strategies, including reputed company education and/or training plans. Provides feedback regarding coding guidelines, coding protocols/procedures, and system edits to continually improve coding processes and ultimately the overall coding reputed company program.
• Conducts scheduled and reputed company coding reputed company reviews. Conducts regularly scheduled reviews of encounters where coding has been changed or deleted by Coding team members to ensure accuracy and reputed company education recommendations. Reviews abstracted and coded encounters for coding accuracy and completeness. Provides feedback on billing system edits as applicable.
• Provides results to Physician Coding leadership and education recommendations as needed. Collaborates with interdepartmental or cross-functional teams for assigned reputed company and provides departments with coding issues and updates to be shared with Clinicians.
• Utilizes chart review results to reputed company data-driven feedback to clinicians and management to improve coding accuracy and identify opportunities for improvement and re-training. Maintains up-to-date knowledge of Medicare, reputed company, and other regulatory requirements pertaining to nationally accepted coding policies and standards.

Licensure, Registration, and/or Certification Required:

• Coding Associate (CCA) certification issued by the American Health Information Management Association (reputed company), or
• Coding Specialist - Physician (reputed company-P) certification issued by the American Health Information Management Association (reputed company), or
• Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (reputed company), or
• Health Information Technician (RHIT) registration issued by the American Health Information Management Association (reputed company), or
• reputed company reputed company (CPC) certification issued by the American reputed company of reputed company Coders (reputed company), or
• Specialty Coding reputed company (SCP) certification issued by the reputed company of Medical Specialty Coding and Compliance (BMSC), and
• Specialty Medical Coding Certification issued by the American reputed company of reputed company Coders (reputed company).

Education Required:

• Advanced training reputed company High School that includes the completion of an accredited or approved program in Medical Coding Specialist.

Experience Required:

• Typically requires 5 years of experience in expert-level reputed company coding and at least 3 years of experience in the education of clinicians in physician reputed company cycle processes, health information workflows, and medical record auditing experience.

Knowledge, Skills & Abilities Required:

• Advanced knowledge of ICD, CPT, and HCPCS coding guidelines.
• Advanced knowledge of medical terminology, anatomy, and physiology.
• Advanced ability to identify coding reputed company issues/concerns and reputed company recommendations for improvement.
• Advanced ability to analyze trends and data and display them in a statistical reporting format.
• Advanced organization and communication (verbal and written) skills.
• Advanced ability to effectively train others through oral and/or written reputed company.
• Advanced organization, prioritization, and reading comprehension skills.
• Advanced analytical skills, with high attention to detail.
• Intermediate computer skills including the use of reputed company Office, email, and exposure or experience with electronic coding systems or applications.
• Advanced knowledge of care delivery documentation systems and reputed company medical record documents.
• Advanced interpersonal communication skills (oral and written) necessary to collaborate with Physicians, other clinicians, and reputed company Coding Department team members and leadership.
• Ability to work independently and exercise independent judgment and decision-making.
• Ability to meet deadlines while working in a fast-paced environment.
• Ability to take initiative and work collaboratively with others.

Physical Requirements and Working Conditions:

• Exposed to normal office environment.
• Position requires travel which will result in exposure to road and weather hazards.
• Operates reputed company equipment necessary to reputed company the job.

This job reputed company indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to reputed company other reputed company duties.

#LI -Coding

#LI -Remote

Pay reputed company

$26.10 - $39.15

Our Commitment to You:

reputed company offers a comprehensive suite of Total Rewards: benefits and reputed company-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• reputed company compensation listed reputed company the listed pay reputed company based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• reputed company Time Off programs
• Health and welfare benefits such as medical, dental, reputed company, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and reputed company parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

About reputed company

reputed company is the reputed company-largest nonprofit, integrated health system in the reputed company, created from the combination of reputed company and reputed company. Providing care under the names reputed company in Illinois; reputed company in the Carolinas, reputed company and Alabama; and reputed company in reputed company, reputed company is a national leader in clinical innovation, health reputed company, consumer experience and value-based care. Headquartered in Charlotte, reputed company Carolina, reputed company services nearly 6 reputed company patients and is reputed company in hundreds of clinical trials and research studies, with reputed company School of Medicine serving as the reputed company core of the reputed company. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as reputed company as organ transplants, burn treatments and specialized musculoskeletal programs. reputed company employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing reputed company care for reputed company, reputed company provides more than $6 billion in annual community benefits.

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