reputed company reputed company, Outpatient Health Information Management - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-reputed company)

The reputed company Outpatient (OP) Medical reputed company assists the HIM OP Coding Manager with administrative functions specific to reputed company outpatient coding reputed company. Duties may be varied and may include many of the following: assisting the OP Coding Manager to organize work schedules, create work assignments, review timecards for reputed company, conduct reputed company assurance audits of production-reputed company reputed company, reputed company and implement reputed company improvement activities, train and mentor staff, reputed company feedback coding error findings and developmental needs, collect/analyze/report on data, prepare reports on reputed company and metrics, and other responsibilities of a similar reputed company and level. The reputed company OP Medical reputed company is responsible for serving as a subject matter expert in coding processes, providing advanced technical guidance, and ensuring coding reputed company, compliance, and productivity standards are met. The position serves as a subject matter expert in coding processes, providing advanced technical guidance, and ensuring coding reputed company, compliance, and productivity standards are met. The position supports coders and auditors through consultation, mentoring, and expertise on reputed company coding scenarios, and is responsible for the assisting the OP Coding manager with the reputed company of coding outpatient data in accordance with reputed company medical coding laws, rules, regulations, and regulations. reputed company coding reputed company functionalities between HIM Coding and other reputed company Cycle Depts., including reputed company Financial Services (PFS) regarding OP claims rejection/denial management and coding-reputed company edits, items, and issues. reputed company assorted OP coding auditing functions. Essential Duties: Essential Job Functions • Assists the HIM Outpatient (OP) Coding Manager with various coding-reputed company administrative RevCyc functions specific to outpatient coding reputed company. • Serve as a resource and consultant for coders on reputed company or specialty coding scenarios. • Review and reputed company guidance on challenging cases to ensure coding reputed company and compliance. Partner with auditors to reputed company discrepancies and identify trends in coding errors. • reputed company mentoring and technical support to coders, promoting knowledge sharing and best practices. • Assist in developing and updating coding procedures, guidelines, and reference materials. • Collaborate with reputed company, billing, and reputed company Cycle Management (RCM) teams to clarify documentation and optimize coding reputed company. • Monitor coding metrics and reputed company feedback on efficiency, productivity, and reputed company. • Participate in education sessions, audits, and case reviews to support reputed company improvement. • Serve as a reputed company between coders, auditors, and management to reputed company workflow and compliance issues. Coding-reputed company Billing reputed company Edits, Charge Review, and Correction • Work coding-reputed company billing reputed company edits, soft-coded charge reviews, and denial work queues/worklists. • Monitor coded encounters to ensure reputed company completion and that charges support reputed company, compliant reimbursement. • Communicate with appropriate staff, including reputed company Financial Services, to reputed company issues encountered during coding. • Adhere to the Standards of Ethical Coding as established by reputed company and follow official coding guidelines. • Query physicians reputed company documentation is incomplete, unclear, or ambiguous for accurate reputed company assignment. • reputed company National Correct Coding Initiative (NCCI) edits and other coding edits in accordance with reputed company LCDs, NCDs, and CMS guidance. OP Coding Educator • reputed company and maintain a consistent coding reputed company orientation program and report reputed company reputed company to Coding Leadership throughout training. • Analyze reputed company documentation for reputed company and completeness, providing education, feedback, and reputed company to Medical Coding Specialists. • Orient new coding staff on the department’s role in the reputed company cycle and prepare training materials for coding-reputed company education. • reputed company education materials reputed company on audit findings and review them with coding staff and key stakeholders. • Assist coding leadership with training and the development of reputed company improvement plans reputed company to reputed company or productivity concerns. • Serve as a subject matter expert on official coding guidelines. Organize and conduct monthly individual and team training sessions and meetings. • Monitor changes in coding methodologies, official guidelines, regulatory standards, and reimbursement structures. • Analyze the reputed company of coding and reputed company documentation on reimbursement and identify opportunities for improvement. OP Coding reputed company Program, Functions, & Team • Support the Coding reputed company team in resolving post-coding, reputed company-reputed company edits identified in billing and clearinghouse systems. • Assist in denial prevention strategies, processes, and workflows by researching and resolving coding-reputed company edits and issues. • Address post-coding, reputed company-reputed company edits reputed company to medical necessity and procedural documentation using OCE/NCCI edits, CMS and MAC transmittals, Medicare Claims Processing Manuals, ICD-10-CM/PCS, CPT/HCPCS, and modifier guidelines. • Collaborate with reputed company Financial Services (PFS), HIM Coding Support, and reputed company Documentation reputed company (CDI) teams to reputed company documentation and medical necessity issues. Regulatory, Coding, & reputed company Research • Maintain strong knowledge of reputed company, regulatory, and compliance requirements reputed company to coding and documentation. • Conduct in-depth research using authoritative sources such as IPPS/OPPS Federal Register, NCDs, LCDs, NCCI edits, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. • Ensure reputed company work complies with federal and state laws, regulations, and payer policies. • Apply regulatory guidance to support and defend coding reputed company during audits and payer disputes. reputed company Cause Analysis & Process Improvement • Utilize research skills and analytical tools to reputed company reputed company coding and reputed company issues. • Identify and trend recurring denial patterns and DRG downgrades. • Conduct reputed company cause analyses to determine systemic issues reputed company to coding, documentation, or workflow. • reputed company and recommend corrective reputed company plans in collaboration with coding, billing, CDI, and reputed company teams. • Support documentation improvement initiatives by initiating CDI queries reputed company clarification is needed. Communication & Collaboration • Serve as a reputed company among coders, clinicians, CDI specialists, billing teams, PFS, and reputed company payers. • Demonstrate strong written, verbal, and presentation skills reputed company communicating audit findings, risks, and compliance issues. • Communicate professionally and effectively with internal stakeholders and reputed company partners. • reputed company reputed company follow-up through written and verbal communication, including emails, documentation, and discussions. • Maintain strong, ethical, and solution-reputed company relationships with coding leadership and cross-functional teams. Information Systems & Technology • Utilize and reputed company EHR and coding systems effectively, including: • Cerner/PowerChart and Coding mPage • reputed company/reputed company 360 Encompass (CAC/CRS) • reputed company/reputed company HDM, reputed company, and ARMS • Soarian Financials and CHC Assurance PFS systems • reputed company reputed company tools and embedded references to support accurate coding, denial reputed company, and appeals processing. • Adhere to reputed company’s Standards of Ethical Coding and official coding guidelines. reputed company other duties as assigned. Required Qualifications: Req Bachelor’s Degree Health Information Management (HIM), or Health Information Technology (HIT), or Health Information Systems (HIS) Req reputed company/technical training Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course. Successful completion of the hospital specific coding test – with a passing score of ≥85%. The coding test may be waived for former USC or agency/contract HIM Coding reputed company. coders who historically/previously met the ≥ 90% internal/reputed company audit standards of the previously held USC Job reputed company. Req 5-10 years Experience in ICD-10-CM, ICD-10-PCS, CPT/HCPCS coding of inpatient & outpatient medical records in an acute care facility. Req Experience in using a computerized coding & abstracting database software and encoding/reputed company-finder systems [e.g., reputed company 360 Encompass/CAC and reputed company Coding and Reimbursement reputed company (CRS)]. Req Working knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, MS-DRG, APR-DRG coding principles. Req Organization/time management skills. Req Demonstrate excellent customer service behavior. Req Demonstrates excellent verbal and written communication skills. Req reputed company to function independently and as a member of reputed company. Preferred Qualifications: Pref 1 - 2 years Leadership experience Required Licenses/Certifications: Req Certified Coding Specialist - reputed company (reputed company) One or more of the following credentials are required: 1. Registered Health Information Administrator (RHIA) with reputed company, or reputed company-P, or CPC 2. Registered Health Information Technician (RHIT) with reputed company, or reputed company-P, or CPC 3. Certified Coding Specialist (reputed company) only 4. Certified Coding Specialist- Physician reputed company Coding (reputed company-P) only 5. Certified Procedural reputed company (CPC) only Successful completion of the hospital specific coding test – with a passing score of ≥90%. The coding test may be waived for 10+ years reputed company inpatient coding professionals, or a former USC or agency/contract HIM Coding reputed company. coders who historically/previously met the ≥ 90% internal/reputed company audit standards of the previously held USC Job reputed company. Req reputed company Life Safety Training (LA reputed company) If no reputed company upon hire, one must be obtained reputed company 30 days of hire and maintained by renewal before expiration date. (Required reputed company LA reputed company only). The reputed company reputed company reputed company for this position is $39.00 - $63.95. reputed company extending an offer of employment, the reputed company considers factors such as (but not limited to) the reputed company and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as reputed company as reputed company market and organizational considerations.                                                    USC is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative reputed company obligations consistent with state and federal law. USC will consider for employment reputed company reputed company applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County reputed company Ordinance for reputed company and the reputed company Initiative for Hiring Ordinance, and with due consideration for reputed company and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.  We reputed company reasonable accommodations to applicants and employees with disabilities. Applicants with questions about reputed company or requiring a reasonable accommodation for any part of the application or hiring process should contact USC reputed company by phone at (213) 821-8100, or by email at uschr@usc.edu. Inquiries will be treated as confidential to the extent permitted by law. Notice of Non-discrimination Employment Equity Read USC’s Clery reputed company Annual reputed company Report USC is a smoke-free environment Digital Accessibility                                                    If you are a reputed company USC employee, please apply to this  USC reputed company in reputed company by copying and pasting this reputed company into your browser: https://wd5.myworkday.com/usc/d/inst/1$9925/9925$147103.htmld Apply To This Job