Educate and support physicians and PB coders in accurate, complete, and compliant clinical documentation and coding practices by interpreting patient medical records, provide targeted feedback, and promote adherence to regulatory guidelines resulting in appropriate reimbursement.
• Serves as the primary source of contact and resource for physicians and APP’s with regard to clinical documentation and medical coding for patient care services.
Requires a working knowledge of Medicare regulations on charging and billing practices (UB92 and 1500/HCFA), knowledge of CPT and HCPCS coding, and the ability to read/analyze itemized billing statements, medical records, & lab reports. Critical thinking skills needed to independently conduct Opportunity Assessments in new areas of charging. Must be detailed-oriented and have the ability to work in team environment and work toward team goals. Ability to summarize findings and present for appropriate intervention and education. Proficiency in Microsoft Office applications required. Ability to learn and work with “Charge Capture” software.
EDUCATION: Skills assessment required to determine competency level of coding skills. Associate degree in HIM with RHIT or Certified Coder Specialist-Physician (CCS-P) or Certified Professional Coder (CPC) required.
YEARS OF EXPERIENCE: 5 years related experience in multiple specialties required.
REQUIRED SKILLS AND KNOWLEDGE:
• Demonstrated in depth knowledge of ICD-10 and CPT coding guidelines, medical terminology, anatomy, and physiology.
• Ability to accurately code diagnosis, diagnostic and surgical procedures in multiple specialties with in-depth of knowledge in Evaluation and Management (E/M) coding.
• Strong knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation.
• Demonstrated effective verbal and written communication skills, including with physicians and groups.
• Research skills including knowledge of automated analysis tools and on-line research tools to resolve complex coding and healthcare issues.
• Demonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc.
• Maintains confidentiality and always protects sensitive data.
• Excel Proficiency: Strong Excel skills including data management and data interpretation.
LICENSES REGISTRATIONS &/or CERTIFICATIONS:
Associate’s Degree in HIM with RHIT, or CCS-P, or CPC required.
Other Credentials Required or Preferred: NONE
Job details are sourced from the employer's original posting.
Open job postingAbout the company
The Christ Hospital Health Network is a comprehensive network of hospitals, urgent care centers, and physician practices providing a wide range of medical services.