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You will be updated with latest job alerts via emailPosition: Certified Coder
Start Date: 1/20/2025
Duration: 13 weeks
Location: Dallas TX 75235
Shift Type/Shift Times/Hours/Day: Days
Shift Notes: 8a5p CST scheduling at the discretion of the Department; 40 hrs/week
Weekend Requirements: TBD
OnCall Requirements: None
COVID19/FLU Requirement:na
Traveler Policy: na
Work Week: Wednesday Tuesday
OT Holiday Callback multipliers: 1.5x
Charge: n/a
NBO: 0; all hours billed.
Cancellation Policy: 3x per 13week contract.
The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding abstracting and billing in the emergency department (ED) sameday surgery (SDS) outpatient clinic (OPC) observation (OBS) specialty clinics and/or inpatient OB/newborn encounters. This role also involves charge review on clinic and hospital visits to ensure accurate professional charging and billing. This position requires the coder to be highly proficient in properly assigning ICD10 CM PCS CPT HCPCS HCC HEDIS CAT II E/M and modifier codes. Demonstrates the ability to provide direction to coding staff regarding coding integrity established coding guidelines and Parklands policies to ensure the 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 in the emergency department (ED) sameday 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. Assign 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 promptly.
5. Updates as appropriate the patient database with classification codes and resolves conflicts or inconsistencies to provide sufficient patient health information according to Parklands 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 integrating 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 medical staff and hospital employees to ensure that all workrelated 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 to 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 renews 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 agreedupon job duties in good working condition. All employment responsibilities and conditions in applicable Parkland policies and procedures apply to employees while working virtually.
Submission RequirementsProfile Requirements:
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Mobile Health Team Inc is a workforce solutions company. We match experienced healthcare professionals with temporary or permanent positions globally. Our mission is clear to bridge the staffing gap in the healthcare industry by creating and maintaining longterm working relationships with clients and healthcare professionals. We specialize in temporary and permanent placements in order to meet our clients needs.
Full Time