LVN Case Manager & Medical Coding Specialist

South Texas Health System; McAllen (TX); On-site; USD 42,000 - 65,000; Full time

Job summary

South Texas Health System seeks a clinical associate to perform retrospective payor reviews, utilize the current documentation system, and enter ICD/CPT and DRG codes when indicated to ensure accurate billing and compliant coding.

Under the guidance of the Director, you may work weekends, holidays, evenings, nights, and on-call; you will maintain Service Excellence throughout all duties and demonstrate adherence to the Compliance Program.

Qualifications

• 5 years of varied clinical experience.
• Basic Computer skills are required, additional college hours preferred.
• Must demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.
• LVN licensed in the State of TX; Coding experience preferred, Inpatient or outpatient.

Responsibilities

• POSITION SUMMARY: Under the guidance and supervision of the Director, the clinical associate will perform retrospective reviews for payors, utilizing the current documentation system and enter the appropriate ICD/CPT and DRG when indicated.
• May be occasions when it will be necessary to work weekends, holidays, evenings, nights, and/or on-call/call-back status.
• Demonstrates Service Excellence standards at all times.

Skills

Clinical experience

Basic computer skills

Education

LVN licensed in TX

Coding experience preferred

Job description

South Texas Health System seeks a clinical associate to perform retrospective payor reviews, utilize the current documentation system, and enter ICD/CPT and DRG codes when indicated to ensure accurate billing and compliant coding.

Under the guidance of the Director, you may work weekends, holidays, evenings, nights, and on-call; you will maintain Service Excellence throughout all duties and demonstrate adherence to the Compliance Program.