Open position

Professional Coding Responsibilities:

• Provides review and/or coding of any professional services including but not limited to surgeries and diagnostic services for appropriate use of CPT, ICD-10 - CM, HCPCS, and Modifier usage/linkage as well as provide ICD-10- CM coding where needed for missing diagnoses.

• Productivity and accuracy standards must be met according to guidelines set by the manager.

• Prospective audit of charges entered by providers as well as provide feedback to providers

• Periodic review of codes, at least annually or as introduced or required for new, revised, or deleted code updates.

• Answers and responds accurately and timely to questions from providers and other departments

• Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding when necessary

• Reports regularly on findings of reviews/rejections as required by the manager.

Physician/Provider Education:

• Confers regularly with physicians/other qualified health care providers, clinical or ancillary managers, coders, or other staff through departmental staff meetings, one-on-one meetings, and/or daily interactive communication to respond to and educate providers on specific departmental and clinic-wide coding issues and updates.

• Participates in new physician/care provider orientation as well as provides follow-up reviews and education for the new physician/care provider if applicable for the area of responsibility.

• Provides feedback, recommendations, and participates as the coding representative for the Professional Coding Department on the Revenue Cycle Teams as requested by the manager. · Develops and conducts a schedule of physician/care provider documentation reviews in areas where applicable and/or as defined by the manager.

• Provides feedback to the physician/other qualified health care provider, Department Chair, and/or Administration as required.

• Documentation review is ongoing and feedback will be provided to the physician/ other qualified health care provider, Department Chair, and/or Administration as required.

Minimum Qualifications:

Education: Professional Coding · High School Diploma or equivalent, plus additional specialized training associated with the attainment of a recognized Coding Certificate.

Licensure, Certification & Registration:CPC (Certified Professional Coder through the American Academy of Professional Coders) or CCS-P (Certified Coding Specialist Physician based through the American Health Information Management Association)

Experience:

· Minimum 5 years of Professional Coding experience in conjunction with the requirements indicated above

· Microsoft Office applications

· Interventional Radiology, Cardiac Cath, Injection and Infusion, Observation, and Ambulatory Surgery coding experience, preferred

· Computer skills

Required Skills, Knowledge & Abilities:
--Medical terminology

--Proficient in Microsoft Office Excel, Word, and PowerPoint applications

--Knowledge and understanding of current ICD-10-CM and CPT Official Guidelines for Coding and Reporting

--Knowledge of medical records content and management

--Working knowledge of the EMR either through experience or education, including experience working with structured data and database management

--Strong written communication skills

--Knowledge of laws and regulations about health information and patient confidentiality

--Adheres to Department, Hospital, and Human Resource Policies

Preferred Qualifications & Skills:

Epic experience

3M-360 Computer Assisted Coding