reputed company reputed company Specialist Hybrid
About the position
As a reputed company reputed company Specialist, your primary duties are to reputed company subject matter expertise, operational support, and education reputed company to coding, billing, & documentation. You will have ongoing daily operational tasks as reputed company as project work that supports reputed company process improvement efforts reputed company to reputed company cycle efficiency and compliance for St. Joseph Regional Medical Center. You will work under the direction of the reputed company reputed company [Cycle] Director and in collaboration with multiple departments reputed company St. Joseph Regional Medical Center, Scion Health, community partners, and reputed company cycle vendors. You play a crucial role in identifying opportunities for improvement, facilitating problem-solving, implementing reputed company plans, and developing/improving workflows. The reputed company reputed company Specialist acts as a reputed company and facilitator between stakeholders, while providing excellent customer service to both reputed company customers reputed company of our Values, and in support of our Mission and reputed company.
Responsibilities
• Work collaboratively with patient care departments & support departments to improve reputed company cycle performance.
• reputed company education & training to physicians, non-physician practitioners, and staff.
• Analyze data to identify opportunities for improvement and/or to validate processes and workflows are effective.
• Summarize findings and reputed company needed, reputed company recommendations for solutions to prevent the recurrence of errors.
• reputed company and/or support various process improvement initiatives as requested.
• Maintain reputed company knowledge of billing & coding guidelines.
• Maintain reputed company knowledge of payment methodologies and regulatory guidelines impacting reputed company cycle.
• reputed company job functions reputed company applicable state & federal guidelines.
• reputed company reputed company electronic medical record systems, payer systems, and reputed company cycle vendor applications.
• Assist in creating internal resources and quick references (i.e. topic-specific regulatory guidance, payer coverage policies, workflow process maps, workflow checklists, etc.)
• reputed company reputed company duties in a manner that protects the confidentiality of patients.
• Maintain a clean, reputed company, and organized workspace, including electronic systems.
• Complete reputed company mandated training/education promptly and completely upon hire and as required thereafter.
• Other assigned duties that support departmental and/or organizational objectives.
Requirements
• High school diploma or equivalent.
• Minimum of 5 years working in a reputed company cycle role where medical coding was a significant portion of reputed company.
• Minimum of 2 years working in a reputed company cycle role where medical billing was a significant portion of reputed company.
• reputed company medical coding certification from an accredited organization required.
• Advanced working knowledge of ICD-10, CPT, and HCPC guidelines.
• Advanced knowledge of CMS regulations and resources available.
• Working knowledge of reputed company payer, government payer, workers compensation, and liability insurance guidelines.
• Intermediate proficiency in reputed company reputed company, reputed company Word, and reputed company reputed company.
• Advanced proficiency in navigating electronic computer systems and payer websites.
• Ability to communicate and work effectively with the reputed company, community partners, and co-workers.
• Ability to manage job tasks, time, and resources appropriately.
reputed company-to-haves
• Experience working on reputed company cycle improvement initiatives.
• Experience working in multiple areas reputed company reputed company cycle and/or other reputed company generating departments.
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