- Associate's Degree
- Bachelor's Degree
- Microsoft Word
- Medical Coding Certification
Summary: Analyzes, identifies and investigates potential compliance risk areas. Independently plans, schedules, preforms and documents procedure and other compliance audits. Researches and stays current on regulatory requirements. Develops and delivers effective training for staff, leaders and providers. Works closely with physicians, leaders and staff to ensure appropriate actions are implemented.
Education: Associates degree in Health Information Management or health-related field formalized acute care coding education by an AHIMA and/or AAPC program or the equivalent of 4 years of additional experience in a comparable job. Bachelors degree in Health Information Management or health-related field preferred.
Licensure/Certification: RHIA RHIT CCS CCS-P CPC and/or AHIMA Certified coding Specialist required.
Experience: A minimum of three (3) years of experience in coding and/or professional reimbursement activities is required. Two (2) years experience is chart audit compliance or large multispecialty practice experience preferred. Must have strong knowledge of physician practice coding and regulatory compliance with particular emphases on CMS policy. Must be familiar with coding and reimbursement rules for services rendered by Non-Physician Practitioners (NPPs).. Knowledge of medical terminology CPT HCPCS and ICD-10-CM coding principles and guidelines. Knowledge of E/M surgical coding and reimbursement practices/strategies. Knowledge of Epic and Claritee systems preferred. Proficient computer skills MS Word Excel Power Point and Outlook. Detail oriented and able to teach groups and meet targeted deadlines. Must be productive self-motivated and independent to work from home unless on-site attendance is necessary.
Location: Parkview Health · Corporate Compliance
Schedule: Full Time Benefit Eligible, Days, 8-4:30