General Summary
Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical documentation and reports for quality assessment, audit, and billing purposes.
Duties and Responsibilities
Essential Functions:
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Performs chart audits, reviewing for accuracy and compliance.
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Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) procedure codes (CPT), and other items (HCPCS) for final billing.
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Research and process invoice corrections.
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Reviews and analyzes coding/billing procedures.
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Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.
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Coordinates and implements reimbursement improvement activities with staff and providers.
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Adheres to WellSpan Coding Compliance Guidelines
Common Expectations:
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Maintains job specific standards and expectations relative to productivity and quality.
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Prepares and maintains appropriate documentation as required.
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Maintains professional growth and development.
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Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
Qualifications
Minimum Education:
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High School Diploma or GED Required
Work Experience:
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1 year Relevant experience. Required
Licenses:
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Certified Professional Coder Upon Hire Required or
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Certified Coding Specialist - Physician Based Upon Hire Required or
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Certified Medical Coder Upon Hire Required or
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Certified Professional Coder Apprentice within 1 year Required or
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Certified Outpatient Coder Upon Hire Required or
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Registered Health Information Technician Upon Hire Required or
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Certified Home Care Coding Specialist - Diagnosis Upon Hire Required
Courses and Training:
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Certified Home Care Coding Specialist-Diagnosis (CHCS-D) – Only required for VNA Home Health Services. Upon Hire Required
Knowledge, Skills, and Abilities:
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Knowledge of ICD-10-CM, CPT-4, and HCPCS coding.
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Basic computer skills.
Benefits Offered:
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Comprehensive health benefits
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Retirement savings plan
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Paid time off (PTO)
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Education assistance
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Financial education and support, including DailyPay
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Expanded Paid Parental Leave
For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)
