This position provides education to providers to ensure compliance with coding and regulatory guidelines. Develops and provides onboarding training, as well an on-going training based on audit findings, noted trends and/or changes in coding/documentation updates. Establishes positive working relationships as the subject matter expert with all parties. Assists Coding Team to complete charging/coding for HOPD clinics. Ensures accurate submission of all coding data for reimbursement purposes. Ensures regulatory compliance and follows all Federal regulations for all payment systems.
Position Requirements
Minimum Education
High School Diploma or equivalent.
Certificate Required
One of the following Coding Certifications:
CCS-Certified Coding Specialist
CPC-Certified Professional Coder
and
CPMA-Certified Professional Medical Auditor or ability to obtain within first year of employment.
Minimum Work Experience
Minimum of 2 years’ experience with E&M coding experience required.
Strong knowledge of E&M regulations and CMS Documentation Guidelines.
Strong organization skills and attention to detail.
Proficient in ICD10CM, CPT and HCPCS coding, policy and procedures based on physician practices.
Ability to prioritize provider medical records reviews/projects and provider coding education opportunities with alignment with audits and overall trends.
Ability to read and communicate in English; Bilingual preferred.
Good communication and multi-tasking skills.
Knowledge of computer applications for coding.
Knowledge of medical terminology, anatomy and physiology.
Knowledge and application of diagnostic and procedural coding.
Position Essential Functions
Provider Educator
Conducts audit of new provider records and charges after 60 days of hire.
Conducts provider records and charge audit annually (more frequently as needed).
Provide new hire training within EMR for all new providers.
Provide all audit findings to the appropriate provider(s) for review.
Attend monthly provider meetings for specific education presentations and/or as a resource for providers.
Coding
Ensures accurate diagnostic coding assignment to include modifiers when applicable.
Accuracy standards of 95°/o or greater.
Accurately abstracting the coding data utilizing the coding software.
Productivity
Maintains CVH coding productivity standards. Effectively coordinates scheduled daily activities to ensure productivity is met and work is completed in a timely manner.
25-30 per hour- out patient charts includes abstracting.
Goals/Standards
In collaboration with the Executive Director Physician Clinics, Director of Revenue Cycle and HIM Supervisor, supports the goals and objectives of the department related to coding quality and reimbursement levels.
Possesses working knowledge of all regulatory standards that apply to coding activities and ensures practice meets standards.
Assists in training coding staff and/or contract coders.
Provides all requested education to clinical staff to include in depth coding training, provider meeting presentations, audits and on-going support.
BENEFITS: If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.
NO STATE INCOME TAX
Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
Vanguard 401(k) with match.
Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
Employer Paid Basic Life and AD&D insurance.
Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
Earned Time Off, Sick Leave and Paid Holidays.
Nevada 529 College Fund.
Unum Employee Assistance Program.
Employer paid Credit monitoring and Identity Theft Program through CyberScout.