September 29, 2010 (last updated 4 weeks 9 hours ago)
Date: 02-24-10
Title: ADVANCED CODING SPECIALIST
Location: Longview, WA
Department: LCR-CODING & CHARGE CAPTURE (150/100/600/87872)
Hours/Week: 40
FTE: 1.0
Shift: Day
Work Hours: 8-5
Work Days: M-F
Job Type: Regular
Req #: peac-012758
Salary Range: $0.00 - $0.00
Company Profile:
At Peace Health, we carry on the healing mission of Jesus Christ by promoting personal and community health, relieving pain and suffering, and treating each person in a loving and caring way. The fulfillment of this Mission is our shared purpose. It drives all that we are and all that we do. To those who embrace the spirit of these words and our commitment to Exceptional Medicine and Compassionate Care, we offer the opportunity to learn and grow as a member of the Peace Health family.
Job Description:
THESE POSITIONS REPORT TO OUR SYSTEM OFFICE, BUT COULD BE PHYSICALLY LOCATED WITHIN ANY REGION
JOB SUMMARY
This position is responsible for analyzing and educating accurate and consistent diagnostic coding and documentation, providing practice management coding assistance in compliance with all federal and state regulations.
ESSENTIAL FUNCTIONS
1. Researches and provides education to providers, clinic management and staff regarding coding and compliance issues utilizing regulatory and medical informational resources.
2. Collaborates with other coding staff to identify trends and issues with provider coding practices and edits, research monthly edit and denial reports to make recommendations for provider and staff education.
3. Collaborates with Provider Reviewer Education Specialists (PRES)in development and presentation of provider education materials in individual and group settings.
4. May process billing system claim edits during periods of large workflow volumes.
5. Participates in departmental and cross regional meetings and projects involving coding/billing and helps develop forms/process for use in clinics.
6. Maintains communication and relationships with PRES, PFS billing and reimbursement management and staff regarding issues affecting coding and charge capture. Instructs coding staff as to completion of updates.
7. Meets with lead providers/clinical administration to facilitate annual revisions of encounter forms and to distribute code update information.
8. Review provider coding practices and provide recommendations and feedback.
QUALIFICATIONS
EDUCATION: High school diploma or equivalent required. Knowledge of anatomy, physiology, medical terminology, diseases, procedures and therapies.
EXPERIENCE/TRAINING: Minimum of three years experience in physician professional services coding in a medical care facility, billing office or medical records department.
LICENSE/CERTIFICATION: 'X CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) required.
'X Assigned CPC Specialty certification must be obtained with one year.
OTHER SKILLS: 'X Proficiency in coding Professional Inpatient and/or Ambulatory Care, Emergency Department and Outpatient medical records with ICD-9 CM and CPT4 classification systems with expertise in one or more specialty area.
'X Proficient in the use of MS Office applications including Excel and Word.
'X Adept and proficient in windows based computer environment with respect to coding software systems.
'X Good oral and written communication skills.
'X Critical thinking and problem solving skills required.
'X Public speaking/presentation skills.
'X Familiarity with medical billing software and electronic medical record preferred.
REGION/LOCATION SPECIFIC NOTES
Qualifications:
Please see above.
Industries: Hospital / Healthcare, Health Products & Services
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