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Job Location drjobs

Alexander City - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Job Description

  • REMOTE position
  • A preemployment coding test may be required through Parkland prior to offer
  • Applicant must have the necessary equipment for the contract; 2 monitors keyboard mouse web camera. If not Agency must supply ahead of start date.

The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding abstracting and billing on emergency department (ED) same day surgery (SDS) outpatient clinic (OPC) observation (OBS) specialty clinics and/or inpatient OB/newborn encounters. This role is also responsible for charge review on clinic and hospital visits to ensure accurate professional charging and billing. This position requires the coder to be highly proficient in the proper assignment of ICD10 CM PCS CPT HCPCS HCC HEDIS CAT II E/M and modifier codes. Demonstrates the ability to provide direction to coding staff as it relates to coding integrity established coding guidelines and Parkland s policies to ensure accuracy of recorded patient medical information and appropriate reimbursement for services rendered.

Responsibilities

1. Code abstract and conduct charge quality review on all episodes of care on emergency department (ED) same day surgery (SDS) outpatient clinic (OPC) observation (OBS) and/or inpatient OB/newborn hospital and specialty clinic encounters according to coding conventions guidelines & hospital policy analyzing questionable documentation to ensure to the accuracy of information & resolves identified issues.

2. Assigns appropriate diagnosis and procedures codes utilizing ICD 10CM/PCS CPT HCPCS HCC and HEDIS CAT II E/M codes according to the Centers for Medicare & Medicaid Services (CMS) requirements for both professional and hospital billing. May assist in training and reviewing the work of other coders for accuracy and efficiency.

3. Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.

4. May verify edit and/or enter charges based on documentation or payer/billing requirements reporting any discrepancies in a timely manner.

5. Updates as appropriate patient database with classification codes and resolves conflicts or inconsistencies to provide sufficient patient health information according to Parkland s standards.

6. Stays abreast of the latest developments advancements and trends in the field of health information management by attending workshops reading professional journals actively participating in professional organizations and integrates knowledge gained into current work practices.

7. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor implements and monitors results as appropriate in support of the overall goals of the department and Parkland.

8. Facilitate a positive working relationship with physicians nurses and medical staff and hospital employees to ensure that all work related encounters are productive.

9. Maintains knowledge of applicable rules regulations policies laws and guidelines that impact the Coding area. Develops effective internal controls designed to promote adherence with applicable laws accreditation agency requirements and federal state and private health plans. Seeks advice and guidance as needed to ensure proper understanding.

10. Maintains CE hours and renew annual coding credentials.

11. This position is 100% Virtual. Virtual employees must also comply with all Parkland policies and procedures governing the use of Parkland information resources. Virtual employees must maintain all equipment lent by Parkland for performing the agreed upon job duties in good working condition. All employment responsibilities and conditions in applicable Parkland policies and procedures apply to employees while working virtually.


Requirement description :
  • AAPC certificate required; MUST be CPC CPCH and/or COC
  • 2 years of coding experience in Clinic setting ranging from primary care womenbaby clinics oncology and/or family medicine (pedsgeri)
  • Hospital experience encouraged
  • knowledgeable in ICD9/ICD10CM/PCS CPT4/HCPCS HCC and HEDIS CAT II E/M coding
  • knowledge & proficiency of EPIC Exx and 3M 360 coding is encouraged
  • ability to assign CPT codes
  • must have graduated from an approved coding program or health information management programe
Profile Requirements:
  • Resume/Work history
  • Skills Checklist
  • Copy of Certification(s)
  • At least 1 reference
  • MUST note on profile if Applicant has been a past traveler or FTE of Parkland Health

CERTIFICATION REQUIREMENTS :
  • AAPC

ADDITIONAL LICENSE REQUIREMENTS :
Weekend Requirements : TBD
On Call Requirements : None

Employment Type

Full Time

Company Industry

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