Specialist, Coding and Reimbursement, Hospital, Auditor - HIM Revenue Cycle - Remote Job at ProMedica
$41,600 - $114,000 a year
Performs hospital coding and reimbursement functions for the Clinical Revenue Cycle department. Reports to the Director Hospital Coding and Clinical Documentation Improvement.
POSITION SUMMARY
The Coding and Reimbursement Specialist is responsible for reviewing patient records to facilitate the accurate coding and reimbursement for the organization. Reviews primarily focus on coding compliance and accuracy. Education for coding staff and providers is also a key responsibility in this role.
ACCOUNTABILITIES
Accountabilities % of time
1. Completes hospital coding and outpatient compliance audits and other focused reviews. 30
2. Conducts coding and payor related audits and completes approval and appeals communication through final resolution. 30
3. Assists with the development of coding compliance action plans and education. Conducts coding education for staff and providers upon the direction from Clinical Revenue Cycle leadership. 10
4. Serves as a technical resource for the Clinical Revenue Cycle team. 5
5. Assists Accounts Receivable reduction efforts, including completion of claim edits, recodes and coding production. 5
6. Establish and maintain effective and professional working relationships with all internal and external customers. 5
7. Serves as a coding resource for the Utilization Management Team to assist in determining patient admit type. 2.5
8. Adheres to ProMedica’s System and Clinical Revenue Cycle department policies and procedures related to this position 2.5
9. Attend/complete all assigned training to develop relevant knowledge and skills related to their job for continued educational growth and experience. 2.5
10. Attend and participate in required meetings. 2.5
11. Demonstrates self-direction and ability to work independently. 2.5
12. Performs other related duties as assigned. 2.5
13. Follows the System confidentiality and security policies at all times.
Education: Associate’s degree in Health Information Management, or related field required.
Skills: In depth knowledge of coding systems and applicable software programs; knowledge of computer systems and applications, including the Microsoft Office applications suite; Excellent verbal and written communication skills.
Years of Experience: At least one year’s experience in HIM coding related functions.
License: N/A
Certification: RHIA, RHIT, CCS, CPC required.
PREFERRED QUALIFICATIONS
Education: Bachelor’s degree in Health Information Management, or related field preferred. Will consider a candidate with related education and 3-5 years’ experience in information management.
Skills: Ability to work with a variety of internal/external customers and healthcare providers effectively and diplomatically.
Years of Experience: 3-5 years experience in HIM coding related functions.
License: N/A
Certification: RHIA, RHIT, CCS, CPC required.
Pay Range: $41,600-$114,000
ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica
Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org
Please Note :
blog.nvalabs.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, blog.nvalabs.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
POSITION SUMMARY
The Coding and Reimbursement Specialist is responsible for reviewing patient records to facilitate the accurate coding and reimbursement for the organization. Reviews primarily focus on coding compliance and accuracy. Education for coding staff and providers is also a key responsibility in this role.
ACCOUNTABILITIES
Accountabilities % of time
1. Completes hospital coding and outpatient compliance audits and other focused reviews. 30
2. Conducts coding and payor related audits and completes approval and appeals communication through final resolution. 30
3. Assists with the development of coding compliance action plans and education. Conducts coding education for staff and providers upon the direction from Clinical Revenue Cycle leadership. 10
4. Serves as a technical resource for the Clinical Revenue Cycle team. 5
5. Assists Accounts Receivable reduction efforts, including completion of claim edits, recodes and coding production. 5
6. Establish and maintain effective and professional working relationships with all internal and external customers. 5
7. Serves as a coding resource for the Utilization Management Team to assist in determining patient admit type. 2.5
8. Adheres to ProMedica’s System and Clinical Revenue Cycle department policies and procedures related to this position 2.5
9. Attend/complete all assigned training to develop relevant knowledge and skills related to their job for continued educational growth and experience. 2.5
10. Attend and participate in required meetings. 2.5
11. Demonstrates self-direction and ability to work independently. 2.5
12. Performs other related duties as assigned. 2.5
13. Follows the System confidentiality and security policies at all times.
Education: Associate’s degree in Health Information Management, or related field required.
Skills: In depth knowledge of coding systems and applicable software programs; knowledge of computer systems and applications, including the Microsoft Office applications suite; Excellent verbal and written communication skills.
Years of Experience: At least one year’s experience in HIM coding related functions.
License: N/A
Certification: RHIA, RHIT, CCS, CPC required.
PREFERRED QUALIFICATIONS
Education: Bachelor’s degree in Health Information Management, or related field preferred. Will consider a candidate with related education and 3-5 years’ experience in information management.
Skills: Ability to work with a variety of internal/external customers and healthcare providers effectively and diplomatically.
Years of Experience: 3-5 years experience in HIM coding related functions.
License: N/A
Certification: RHIA, RHIT, CCS, CPC required.
Pay Range: $41,600-$114,000
ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica
Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org
Please Note :
blog.nvalabs.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, blog.nvalabs.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.