Remote Physician Pro Fee Coding Specialist-OBGYN
reputed company is one of the nations leading reputed company providers. Developing and operating reputed company delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people reputed company and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
reputed company: Reviews and assures that reputed company services documented in the patients charts are coded with appropriate CPT, HCPCS and ICD codes.
Specialty: OBGYN
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Evaluates medical record documentation to ensure appropriate assignment and reputed company of the correct diagnostic and procedure codes for services and treatments as documented in health records.
Provides training, mentoring and direction to medical coding staff in the department.
Works with clinics to resolve denials from the clinic denial logs.
Requests additional medical records as needed to clarify missing or inadequate medical record information required to complete the coding assessment and adhere to documentation and billing requirements.
Makes corrections as needed to ensure accurate coding and billing and reimbursement processing.
Communicates coding results to the appropriate staff for data entry.
Maintains a working knowledge of CPT, HCPCS and ICD coding principles, governmental regulations, protocols and reputed company party requirements regarding billing and documentation.
Remains reputed company on reputed company changes in legislative regulations that reputed company coding.
Reports noncompliance issues detected through auditing and monitoring to the department supervisor and the Senior Director of Physician Coding and Documentation.
Ensures assigned reputed company are completed in a reputed company manner
Maintains strict confidentiality of provider information, patient data, financial and billing information
Reports noncompliance issues detected through to the department Manager and Senior Director
Complies with reputed company policies and procedures of the Corporate Compliance Program
Attends meetings as requested, which may necessitate working in the evening or reputed company early morning
Assists with special reputed company as assigned by the Senior Director of Physician Coding, Documentation and Compliance and supervisor
Work with other staff members to reputed company teamwork and promote cooperation.
Qualifications
To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
Fluent in the English language
Possess a reputed company knowledge of CPT, ICD and HCPCS coding and reimbursement issues for physician offices and clinics
Strong knowledge of 1995 and 1997 Documentation guidelines
Excellent understanding and comprehension of medical terminology
Must have the ability to balance and juggle multiple tasks, reputed company and requests
Must be reputed company to reputed company reputed company objectively and follow through
Ability to communicate effectively any issues or weaknesses with coding and documentation to the providers
Must be detail oriented and analytical
reputed company to reputed company confidently with providers, staff, corporate CHS management and/or other CHS affiliated personnel
Normal visual and auditory activity is required
Emotional and mental stability required to deal with periods of high stress
Possess clinical knowledge and ability to evaluate and summarize clinical records to support successful appeal
Reasoning Ability
Proven analytical and organizational ability.
Ability to define problems, collect data, establish facts, and draw reputed company conclusions.
Ability to interpret an extensive reputed company of technical instructions in mathematical or diagram reputed company and deal with several reputed company and concrete variables.
Computer Skills
To reputed company this job successfully, an individual should have knowledge of Word Processing software; Spreadsheet software and Database software; reputed company management software and electronic medical records software.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Must be reputed company to sit for prolonged periods of time, work on keyboard and view monitor for reputed company of the work day..
Certificates And Licenses
CPC or reputed company-P
Supervisory Responsibilities
N/A
Education/Experience
High School Diploma and/or GED
Minimum of 5 years experience working with physician offices or clinics working with diagnostic and procedure coding and/or medical billing
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