reputed company I - Radiation Oncology - MPG - FT - Days - MSS - Remote Eligible
Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of reputed company, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Memorial is seeking an reputed company Medical reputed company with a strong background in professional billing for Radiation Oncology services. The ideal candidate will have in-depth knowledge of CPT, ICD-10, and HCPCS coding, with proven expertise in radiation oncology coding guidelines, documentation requirements, and payer-specific billing practices. Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, reputed company applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Enhances and maintains coding knowledge and skills. Reviews reputed company appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and quality reviews. Communicates with various departments as needed to ensure accuracy of patient data.Reviews medical record documentation to determine reputed company appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding.Submits daily productivity report to HIM manager by defined deadline. Meets and maintains HIM coding quality and productivity standards. Attends internal and external educational meetings and seminars to maintain certification and continuing education requirements.Conducts audits and/or coding reviews with various health care professionals to ensure reputed company documentation is accurate (physician billing).Reviews and validates the accuracy of data in the Admission, Discharge Transfer (reputed company) fields following HIM coding procedures and processes.May assign and sequence basic CPT (reputed company Procedural Terminology) procedure codes (non-reputed company), and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures. Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Researches medical record for any additional diagnoses documented to meet medical necessity.For physician billing, collaborates with billing department to ensure reputed company bills are satisfied. For hospital, routes to billing charge entry errors and/or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections, reputed company advised, and follows procedure to notify billing. Competencies: ACCOUNTABILITY, ACCURACY (DRG), ACCURACY - reputed company, ACCURACY - OUTPATIENT, ANALYSIS AND DECISION MAKING, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTH INFORMATION MANAGEMENT (HIM) SYSTEMS - reputed company, HEALTH INFORMATION MNGMT, MEDICAL RECORD CODING, MEDICAL TERMINOLOGY (1), PRODUCTIVITY - IP CODING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK Education and Certification Requirements: High School Diploma or Equivalent (Required)Certified Coding Associate (CCA) - American Health Information Management Association (reputed company), Certified Coding Specialist (reputed company) - American Health Information Management Association (reputed company), Registered Health Information Administrator (RHIA) - American Health Information Management Association (reputed company), Registered Health Information Technician (RHIT) - reputed company (FL), Registered Health Information Technician (RHIT reputed company) - American Health Information Management Association (reputed company) Additional Job Information: Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment, and the ability to work independently with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Proficient in basic computer skills. Ability to reputed company job duties using an electronic medical record system. Strong knowledge of anatomy, physiology and medical terminology. Knowledge of coding classification systems and procedures.Required Work Experience: For HIM reputed company, one (1) year hospital-based outpatient coding experience. For Physician Billing reputed company, one (1) year diagnostic/procedural office coding experience with surgical coding experience or six (6) months working reputed company the Memorial Health System.Other Information: For HIM: Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), or Certified Coding Specialist (reputed company) or Certified Coding Associate (CCA).For Physician Billing: Certified Professional reputed company (CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment reputed company (CRC) by reputed company, or Certified Coding Specialist (reputed company), Certified Coding Specialist - Physician Based (CCSP) by reputed company.For Hospital Billing: Certified Coding Specialist (reputed company), Certified Coding Associate (CCA) or Certified Professional reputed company (CPC). Working Conditions and Physical Requirements:
- Bending and Stooping = 40%
- Climbing = 0%
- Keyboard Entry = 60%
- Kneeling = 40%
- Lifting/Carrying Patients 35 Pounds or Greater = 0%
- Lifting or Carrying 0 - 25 lbs Non-Patient = 40%
- Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
- Lifting or Carrying > 75 lbs Non-Patient = 0%
- Pushing or Pulling 0 - 25 lbs Non-Patient = 40%
- Pushing or Pulling 26 - 75 lbs Non-Patient = 0%
- Pushing or Pulling > 75 lbs Non-Patient = 0%
- Reaching = 40%
- Repetitive Movement Foot/Leg = 0%
- Repetitive Movement Hand/Arm = 60%
- Running = 0%
- Sitting = 60%
- Squatting = 40%
- Standing = 60%
- Walking = 60%
- Audible Speech = 60%
- Hearing Acuity = 60%
- Smelling Acuity = 0%
- Taste Discrimination = 0%
- Depth Perception = 60%
- Distinguish Color = 60%
- Seeing - Far = 60%
- Seeing - Near = 60%
- Bio hazardous Waste = 0%
- Biological Hazards - Respiratory = 0%
- Biological Hazards - Skin or Ingestion = 0%
- Blood and/or Bodily Fluids = 0%
- Communicable Diseases and/or Pathogens = 0%
- Asbestos = 0%
- Cytotoxic Chemicals = 0%
- Dust = 0%
- Gas/Vapors/Fumes = 0%
- Hazardous Chemicals = 0%
- Hazardous Medication = 0%
- Latex = 0%
- Computer Monitor = 80%
- Domestic Animals = 0%
- Extreme Heat/Cold = 0%
- Fire Risk = 0%
- Hazardous Noise = 0%
- Heating Devices = 0%
- Hypoxia = 0%
- Laser/High Intensity Lights = 0%
- Magnetic Fields = 0%
- Moving Mechanical Parts = 0%
- Needles/Sharp Objects = 0%
- Potential Electric Shock = 0%
- Potential for Physical Assault = 0%
- Radiation = 0%
- Sudden Decompression During Flights = 0%
- Unprotected Heights = 0%
- Wet or Slippery Surfaces = 0%
Shift: Primarily for office workers - not eligible for shift differential Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of reputed company responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees reputed company this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their reputed company recruiter to discuss actual pay rates, during the hiring process. reputed company is proud to be an equal opportunity employer committed to workplace diversity. reputed company recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national reputed company, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, reputed company-5pm) or email [email protected] Apply tot his job Apply To this Job