Coding Specialist - HIM Revenue Cycle - Full Time - Days - Remote

ProMedica; Toledo (OH); Remote; USD 41,000 - 85,000; Full time

Job summary

An established industry player is seeking a Coding Specialist to enhance compliance and education within their revenue cycle. This role involves conducting audits, providing essential training to healthcare providers, and ensuring adherence to coding regulations. The ideal candidate will possess a Bachelor's degree in health information management and have substantial experience in coding and auditing. Join a forward-thinking organization that prioritizes professional growth and offers a comprehensive benefits package from day one. If you are passionate about improving healthcare documentation and coding practices, this opportunity is perfect for you.

Benefits

Medical insurance

Dental insurance

Vision insurance

Company paid life insurance

Paid time off

401k retirement plan

Employee assistance program

Employee discounts

Qualifications

• 3-5 years of complex surgical and E&M coding experience in healthcare.
• Certification in RHIA/RHIT or CPMA is required.

Responsibilities

• Conduct audits of physician documentation and coding for compliance.
• Develop and deliver education on coding practices to staff.
• Assist in reviewing and updating documentation templates.

Skills

ICD-10 Coding

CPT Coding

HCPCS Coding

Auditing Skills

Interpersonal Skills

Analytical Skills

Problem-Solving Skills

Customer Service Skills

Education

Bachelor’s Degree in Health Information Management

Tools

Epic EHR Systems

Spreadsheets

Databases

Job description

Coding Specialist - HIM Revenue Cycle - Full Time - Days - Remote - (91849)

Job Title: Coding Specialist - HIM Revenue Cycle - Full Time - Days - Remote

Category: Health Information Management

REPORTING RELATIONSHIPS/SUPERVISORY RESPONSIBILITIES

This position reports to the Director, Professional Coding, Audit & Education and has no direct reports.

POSITION SUMMARY

Conducts audits of physician/provider documentation and coding for office and surgical procedure encounters. Develops and delivers education to physicians, providers, office/department support staff, and revenue cycle staff on compliant documentation and coding practices, including regulatory changes or updates. Reviews medical record documentation and claims data to ensure compliance with CMS and payer guidelines and regulations.

ACCOUNTABILITIES

1. Assist in coordinating and developing an educational plan that encompasses accurate documentation, coding, and billing procedures to obtain appropriate reimbursement.
2. Provide regularly scheduled education for providers and staff on appropriate coding and billing in the professional environment, including ICD-10, CPT, and HCPCS coding.
3. Design educational documents and tools to improve the level of knowledge of documentation requirements and CPT and ICD-10 coding guidelines for providers and staff.
4. Research and communicate government and private insurance carrier coding/billing policies and guidelines to appropriate providers and staff.
5. Perform audits to determine documentation compliance and coding/billing accuracy; summarize findings and develop plans to improve outcomes.
6. Review code change requests to determine accurate coding and/or advise coding or billing changes to ensure appropriate reimbursement.
7. Conduct reviews of coding denials or other payer requests; performs appropriate follow-up including appeals and corrective actions with departments and staff.
8. Assist in reviewing and updating physician documentation templates and forms consistent with coding/billing guidelines and system policies.
9. Assist with training new staff or other special projects.
10. Perform other duties as assigned.

This position can be worked remotely.

PREFERRED QUALIFICATIONS

Education: Bachelor’s Degree in health information management or related field.

Skills: High level proficiency and knowledge of spreadsheets, databases, reimbursement, and Epic EHR Systems.

Years of Experience: 3-5 years of physician/professional complex surgical and E&M coding experience in a health care system or medical office setting. 1-2 years of experience in professional coding auditing and provider education.

Certification: RHIA/RHIT, CPMA

ADDITIONAL EXPERIENCE

1. Working knowledge of human anatomy and physiology, disease processes, and demonstrated knowledge of medical terminology.
2. Knowledge of CMS and third-party payer profiles and reimbursement requirements.
3. Knowledge of current and developing issues and trends in medical coding procedures and requirements.
4. Must demonstrate the ability to independently and accurately resolve problems.
5. Ability to interact and communicate with individuals at all levels of the organization.
6. Must be able to understand directions, professionally communicate, and respond to inquiries.
7. Requires a strong commitment to customer service and effective interpersonal skills.
8. Must be able to input and retrieve information from system networks and applications.
9. Must have the ability to manage large volumes of work and the ability to quickly learn and retain information regarding issues that present themselves.
10. Must have strong organizational, quantitative, and analytical skills as well as the ability to multi-task.

WORKING CONDITIONS

Physical Demands: Must be able to work remotely and prolonged periods of sitting. Must be able to understand directions, communicate, and respond to inquiries; requires excellent interpersonal skills.

Remote Work: If eligible, must follow Corporate Remote Work Policy, CP 3.15 and Corporate Flexible Work Arrangement Policy, CP 3.60.

Compensation range: $41,496 - $84,240

We offer a competitive benefits package with coverage effective day one of employment which includes medical, dental, vision, company paid life insurance, paid time off, a 401k retirement plan, an employee assistance program, and other voluntary coverage options and employee discounts.

The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.

ProMedica is a mission-based, not-for-profit integrated healthcare organization headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact [e-mail]

Equal Opportunity Employer/Drug-Free Workplace