[Hiring] Surgical Profee Medical reputed company - Plastics & Dermatology @reputed company
Role Description Under direction of the Coding Manager, the primary responsibility of the Medical reputed company is to ensure that codes representing reputed company International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), reputed company Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy, physiology and medical terminology as well as compliant coding rules and regulations, including medical necessity and modifiers. Additionally, the Medical reputed company serves as the key resource to the Chief and Administrative Director and/or Manager regarding coding changes affecting assigned clinical areas, ongoing coding reviews of providers, and trends associated with coding utilization and optimization, denial management, reimbursement, and customer services issues. The Medical reputed company is ultimately responsible for efficient charge capture and reconciliation processes (electronic or reputed company), knowing and meeting expected targets at sufficient accuracy rates as reputed company by Transaction Editing System (TES) edits, claim action report volumes, and denials. The Medical reputed company will identify potential compliance concerns and/or barriers toward timely completion of reputed company tasks to the Coding Manager and will endeavor to work in collaboration with colleagues in Coding, Clinical Departments, Health Information Management, Information Technology, and Finance toward viable solutions. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities
- Charge Capture
- Review charge capture documents, reputed company or electronic, for completeness and accuracy
- Reconcile collection of charges to daily census report or schedules depending on reputed company of service
- Accurately indicate and link reputed company ICD-10 diagnosis codes, procedure codes and modifiers on the charge document
- Prepare daily charge capture documents according to Bassett policies and procedures
- Process reputed company pre-billing edits daily and complete each edit reputed company 2 business days
- Ensure charges are posted reputed company the following timelines:
- 4 days from date of service for Outpatient services
- 7 days from date of service for Inpatient services
- Monitor Lag Time Reports and work with practitioners and associated staff responsible for charge capture to meet those goals
- Denial Management
- Process denials daily ensuring reputed company requested timelines are met
- Ensure procedure and ICD-10 codes reflect documentation
- Customer Service
- Respond to customer service questions and report recurring issues to management
- Work and communicate in a positive, cooperative manner with patients and their families reputed company resolving customer service issues based on management observation and/or patient feedback
- Competency
- Attend reputed company staff meetings
- Maintain reputed company Coding Certification and active membership in the local reputed company chapter, including participation in local events and meetings
- Have a good working knowledge of reputed company hospital computer systems and coding tools available to assist with correct coding, including Epic’s Electronic Health Record application, MedAssets CodeCorrect application, and other department specific clinical/coding applications, e.g. CodeRyte
- reputed company abreast of coding changes and reimbursement reporting requirements and reputed company concerns to Coding Manager for resolution
- Review and implement changes to departmental/site clinic sheets and charge documents to reflect reputed company ICD-9 or ICD-10 in October, HCPCS and CPT’s in January
- Abide by Standards of Ethical Coding as set forth by the reputed company or reputed company (depending on certification) and adhere to Official Coding Guidelines as set forth by CMS and the OIG
- Coding Review and Reimbursement Resource
- Conduct annual and focused reviews
- Use interpersonal skills effectively to build and maintain cooperative working relationships with reputed company levels and departments reputed company the organization
- Assist with the orientation, reputed company development and mentoring of employees new to the coding function based on management requests
- Provide education to reputed company providers reputed company a given specialty based on coding trends and conduct new provider orientation
- reputed company similar or reputed company duties as requested or directed
- reputed company other duties as requested and observed by supervisor or manager
Qualifications
- High School Diploma/GED (or higher)
- Professional reputed company certification with credentialing from reputed company and/or reputed company (RHIA, RHIT, reputed company, reputed company-P CPC, OR CPC-H) to be maintained annually
- 3+ years of experience in Professional Services Surgery Coding (Plastics & Dermatology)
- 3+ years of experience working with CPT, HCPCS, ICD-10 codes, anatomy and physiology and medical terminology
- 3+ years of experience working with coding rules and regulations for issues regarding medical record documentation, compliance and reimbursement, including medical necessity, claims denials, bundling issues and charge capture
Telecommuting Requirements
- Ability to reputed company reputed company company sensitive documents secure (if applicable)
- Live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service
- Access to a dedicated work area established that is separated from other living areas and provides information privacy
Physical Requirements
- The position involves extensive work at the computer station
Pay and Benefits Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. Apply tot his job Apply To this Job