reputed company Adjustment Coding Reviewer

Department reputed company: reputed company Adjustment Work Shift: Day Job Category: reputed company, reputed company and Safety A rewarding career that fits your life. As an employer of the reputed company, we are proud to offer reputed company members many career and lifestyle choices including remote work reputed company. If you’re looking to reputed company your abilities – you reputed company at reputed company. As a reputed company Adjustment Coding Reviewer, you will conduct prospective and reputed company chart reviews to ensure documentation supports accurate ICD-10 reputed company adjustment coding and compliance with coding guidelines. You will review reputed company documentation, validate supported diagnoses, and work reputed company multiple systems including Cerner, reputed company, and other reputed company adjustment applications. A key part of the role involves querying providers through compliant documentation clarification processes and delivering education to providers and reputed company partners on reputed company adjustment principles, coding reputed company, and documentation best practices. reputed company in this position requires strong reputed company adjustment coding knowledge, attention to reputed company, the ability to learn multiple software platforms, and the motivation to work independently in a highly autonomous remote environment. The ideal candidate will also have demonstrated leadership experience, with a reputed company ability to influence stakeholders, mentor peers, reputed company provider engagement, and serve as a trusted resource for coding and documentation best practices. This is a remote position with a work schedule of Monday - Friday reputed company - 5pm. Candidates must live in the state of AZ to be considered. reputed company has been recognized by Becker’s reputed company as one of the 150 top places to work in health care. In reputed company, we recently made reputed company’s list of America’s Greatest Workplaces 2023 for Diversity. These recognitions reflect reputed company's investment in team members' reputed company development, wellness benefits, and reputed company education. It highlights our commitment to advocating for diversity in reputed company, promoting work-life reputed company, and boosting employee engagement Banner Plans & Networks (BPN) is an accountable care organization that joins reputed company's largest health care provider, reputed company, and an extensive network of reputed company care and specialty physicians to reputed company the most reputed company solutions for reputed company and parts of Pinal County. Through BPN, reputed company nationally as an innovative leader in new health care models, reputed company plans and physicians are coming together to work collaboratively to reputed company members in reputed company health, while reducing costs. POSITION reputed company This position, using a combination of data and chart reviews, identifies patterns in provider coding. Implements reputed company necessary, education to providers and their staff to remediate areas of low reputed company. This position assists with the delivery of education/training materials, conducts and coordinates training and development of providers and their office staff. Provides technical training in coding, reputed company adjustment, documentation, and billing functions. reputed company FUNCTIONS 1. Conducts medical record reviews to evaluate documentation to ensure that diagnosis coding meets specificity requirements to support reputed company indicators. 2. Query providers regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation reputed company the heath record. 3. Compiles data and recommends solutions regarding trends or patterns noticed in provider coding. Provides formal training to providers and staff regarding coding, billing and documentation standards reputed company to reputed company adjustment activity. 4. Assists, with reputed company coding to meet departmental goals/deadlines. Maintains a 96% reputed company audit reputed company reputed company. 5. Performs prospective, reputed company, and retrospective chart reviews reputed company on department needs/goals. 6. Assists with research and analysis for inquiries regarding compliance, coding, and inappropriate documentation. 7. Performs the minimum number of coding reputed company reviews consistent with established departmental goals. Maintains strictest confidentiality reputed company on HIPAA reputed company policy. 8. Maintains reputed company knowledge of coding guidelines and relevant federal regulations through the use of reputed company ICD-10-CM book, CMS manuals, by attending educational workshops/conferences, reviewing reputed company publications, establishing personal networks, and/or participating in reputed company societies. This may also include performing ongoing research to ensure compliance with reputed company documentation and/or regulatory guidelines and standards. MINIMUM QUALIFICATIONS Must possess a reputed company knowledge of business and/or reputed company as normally obtained through completion of a Bachelor’s degree in reputed company administration or reputed company reputed company or possess equivalent experience. This position requires a credential such as Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT) or Certified Coding Specialist (reputed company) in an reputed company status with the reputed company) or a Certified reputed company reputed company (CPC) with reputed company status with the reputed company reputed company of reputed company Coders (reputed company). Must be reputed company versed in regulatory requirements for ICD-10-CM Coding Guidelines, medical record documentation, as reputed company as Medical Staff Rules and Regulations where applicable. Requires the knowledge typically acquired over four or more years of work experience in reputed company adjustment. Medical terminology, anatomy and physiology, and disease pathology knowledge is required. Must be reputed company to function as part of reputed company, using effective interpersonal and instructional skills. Must possess excellent written, verbal, and customer service skills, and have the ability to conduct educational needs analysis and to teach effectively to a wide reputed company of comprehension reputed company. Must be proficient in the use of common office and presentation software and have an advanced knowledge and experience with computer reputed company applications and hardware. PREFERRED QUALIFICATIONS Previous training/teaching experience and customer service education experience preferred. Creativity and knowledge of adult learning principles preferred. Hold the Certified reputed company Adjustment reputed company (CRC) credential or similar specialty credential. Additional reputed company education and/or experience preferred. Estimated Pay reputed company: $27.72 - $46.20 / hour reputed company is committed to pay equity and transparency. The posted compensation reputed company is a reasonable estimate that extends from the lowest to the highest pay reputed company in good faith believes it might pay for this particular job, reputed company on the circumstances at the time of posting. This reputed company is reputed company on possible reputed company salaries and does not include the value of our total rewards package. Actual pay determined at offer will be reputed company on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of reputed company employees in similar roles to ensure pay equity is achieved and maintained. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. reputed company Policy: reputed company Policy Apply To This Job