Coding Improvement Coordinator - Physician Billing

Inova Health System; Fairfax (VA); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical benefits

Retirement match

Education assistance

Student loans

Mental health support

Paid time off

Remote/hybrid work

Job summary

Inova Health System is seeking a dedicated Coding Improvement Coordinator to join the Physician Billing team. This Full-time Day Shift role offers remote work eligibility for candidates within specified states.

The position leads educational opportunities for coders, coordinates in-service training on new guidelines and EPIC, and performs validation and audits to minimize errors and maximize reimbursement.

Qualifications

• Education: High School diploma or GED
• Experience: 5 years of coding and or audit experience
• Certifications: Must have CCS, CCS-P, CPC, or COC upon hire; must hold CPMA or CEMA or be able to obtain within six months of hire

Responsibilities

• Coordinates educational opportunities and in-service educational sessions for the coding staff that address identified opportunities for improvement.
• Provides one-on-one, small group, or large group onsite and/or remote education as needed.
• Identifies needs and coordinates in-service education or recommendations for the development of claim edits, warnings, and hard stops in EPIC as warranted.
• Assists with training and performance audits of new Coders and performs second-level coding validation reviews.
• Provides training and information to the coding validation staff, departments, and physicians when necessary.
• Demonstrates attention to detail to minimize coding errors and optimize reimbursement.
• Reviews unlisted codes for appropriateness of code selection to minimize unlisted code usage.
• Reviews coding analyst queues to address errors due to service/billing provider issues.

Skills

Coding

Audit

EPIC

Education

Training

Detail oriented

Education

High School diploma or GED

CCS

CCS-P

CPC

COC

CPMA

CEMA

Tools

EPIC

Job description

Inova Health is looking for a dedicated Coding Improvement Coordinator to join the Physician Billing team. Full-time Day Shift: Monday-Friday, general office hours, working remotely.

This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience.

We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.

• Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.

• Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans.

• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.

• Work/Life Balance: offeringpaid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.

Coding Improvement Coordinator PB Job Responsibilities:

• Coordinates educational opportunities and appropriate in-service educational sessions for the coding staff that address identified opportunities for improvement, answer coding questions, and introduce new coding guidelines or trainings surrounding new technology and procedures performed at Inova.
• Provides one-on-one, small group, or large group onsite and/or remote education as needed. Identifies needs and coordinates in-service education or recommendations for the development of claim edits, warnings, and hard stops in EPIC as warranted.
• Assists with training and performance audits of new Coders. Performs second-level coding validation reviews.
• Provides training and information to the coding validation staff, departments, and physicians when necessary.
• Demonstrates attention to detail to minimize coding errors, legitimately optimize reimbursement, and ensure accurate billing.
• Accurately reviews unlisted codes for appropriateness of code selection while performing education and feedback, when necessary, to minimize the amount of unlisted code selection.
• Performs timely reviews of coding analyst queues to review charge sessions that have errored due to service/billing provider not populating correctly or charges entered into incorrect departments.
• Deletes erroneous charges from providers that are not employed by Inova Health System. Makes updates and identifies trends that need EPIC analyst intervention to correct for permanent resolution.

Minimum Requirements:

• Education: High School diploma or GED
• Experience: 5 years of coding and or audit experience
• Certifications:
  • Must have one of the following credentials upon hire: CCS, CCS-P, CPC, or COC
  • Must hold a current audit credential such as CPMA or CEMA or be able to obtain within six months of hire

Preferred Qualifications:

• CIRCC credentials upon hire