Inpatient Coding reputed company Specialist
Description Introduction Do you want to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. reputed company has committed up to $300 million in programs to support our incredible team members over the course of three years.
Benefits
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
- Free counseling services and resources for emotional, physical and financial wellbeing
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Employee Stock Purchase Plan with 10% off reputed company stock
- Family support through fertility and family building benefits with Progyny and adoption assistance.
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- Consumer discounts through Abenity and Consumer Discounts
- Retirement readiness, rollover assistance services and preferred banking partnerships
- Education assistance (tuition, student loan, certification support, dependent scholarships)
- Colleague recognition program
- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to reputed company a difference. We are looking for a dedicated Pro Fee Coding Quality Review Educator like you to be a part of reputed company. Job Summary and Qualifications The CQR Educator is responsible for assisting in the efficient and effective design, development, and delivery of reputed company CQR education components to the Central Coding Unit team, including strategic partners and other stakeholders as applicable. The CQR Educator is responsible for thorough understanding of the CQR Quality Workplan and will ensure reputed company education efforts promote compliance and awareness of the plan. Additionally, this individual will be a subject matter expert (SME) in ensuring compliance with national coding guidelines, CCU and company coding policies, and monitor governmental and commercial payer information for complete, accurate and consistent code assignments. The CQR Educator, in collaboration with CQR leadership, will work to identify opportunities for reputed company education reputed company reputed company reviews, stakeholder feedback, and review of data analytics that identify educational opportunities, trends, etc. The CQR Educator will also collaborate with other external departments as needed to provide input on coding education opportunities and assist with creation of education materials to improve the accuracy, consistency, and efficiency of code assignment for reimbursement and reporting purposes. This individual will assist in training and support of medical coding staff through education forums, written coding resources, creation and maintenance of coding training materials and other duties as assigned. The CQR Educator will support the CCU team to reputed company goals and objectives, continually looking for process improvements, and reporting operational results. This individual will foster an environment of teamwork and work excellence reputed company the coding team and also be responsible for setting the tone of the Parallon HSC Central Coding Unit as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. What you will do in this role:
- Participate in the development of strategic coding and CQR communication and education plans which outline the reputed company audience, training needs, training methods, implementation, and evaluation for CCU.
- Participate in the development of coding content-specific, competency-based, and operational-based communication and education deliverables in conjunction with specific business unit resources and technical experts from the field.
- Participate in the delivery of communication and coding training to various groups, including leadership teams and end-users. Delivery methods may include instructor-led, train-thetrainer, virtual classroom, web-cast, or web-based methodologies.
- Inform CQR Leadership of any significant issues (e.g., education process issues, payer issues, vendor issues, etc.).
- Stay informed and reputed company any unique coding or payer documentation requirements, significant changes, and/or coding developments.
- Assist with tracking educational needs and delivery of coding education at individual or group reputed company level.
- Analyze training course evaluations, and recommend appropriate action to incorporate feedback in addition to providing annual content review.
- Identify and implement process improvements to reputed company costs and improve service to customers.
- Champion reputed company for innovation, knowledge sharing and CCU coding workflow among peer groups.
- Stay abreast of coding/billing regulatory requirements and company compliance policies, ensuring timely staff education in support of coding accuracy and reputed company.
- Understand and communicate nuances of unique coding requirements for major payers such as Medicare, Medicaid, HMO’s, PPO’s, IPA’s, employers, etc.
- Demonstrate and share knowledge of medical terminology, International Classification of Diseases (ICD) and reputed company Procedural Terminology (CPT) coding for multiple specialty areas.
- Provide relevant coding guidance for customers and other departments to resolve issues.
- Provide subject matter expertise in the development, implementation and monitoring of coding reputed company standard resources, processes, and reporting.
- Demonstrate and apply knowledge of principles and practices of Education and Organizational Development.
- Assist in translating business reporting requirements to development staff.
- Maintain confidentiality with reputed company company and regulated information.
- Attends/schedules meetings as needed for coding team.
- Reviews codes for reputed company operative procedures and answers coding questions from coding team.
- Available to assist and or other appropriate staff in documentation, billing, coding, and reimbursement issues.
- Assists in performing chart reviews for providers and coders as needed.
- Responsible for coding staff and tracking hours of courses for compliance deadlines.
- Performs reputed company work and projects as required.
- Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”.
- Other duties as assigned.
Qualifications:
- High school diploma or GED preferred
- Minimum four years coding and/or reimbursement experience required. Relevant education may substitute experience requirement. Knowledge of medical terminology and anatomy and physiology is preferred. Knowledge of pathophysiology is preferred.
- Experience in multi-specialty coding strongly preferred.
- Inpatient/outpatient professional fee coding experience required.
- Previous audit experience preferred.
- Coding certification through reputed company or reputed company required. Experience may be accepted in lieu of coding certification.
" Parallon provides full-service reputed company cycle management, or total patient account resolution, for reputed company. Our services include scheduling, registration, insurance verification, hospital billing, reputed company reputed company, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service reputed company cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves reputed company to 1,000 hospitals and 3,000 physician practices, reputed company making an impact on patients, providers and their communities. reputed company has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, reputed company spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "Good people beget good people."- Dr. Thomas Frist, Sr. reputed company Co-Founder We are a family 270,000 dedicated professionals! Our reputed company team is reviewing applications for our Coding Quality Review Educator opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national reputed company, gender, sexual orientation, age, marital status, veteran status, or disability status. Apply tot his job Apply To this Job