Coding / Revenue Cycle Specialist

Holy Redeemer Health System • Meadowbrook, PA

88d

About The Position

Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career training. With medical and dental coverage, access to childcare & fitness facilities on campus, investment in your retirement, and community events, your career at Redeemer is more than a job. You'll discover a commitment to quality care in a safe environment and a foundation from which you can provide and receive personalized attention. We look forward to being a part of your professional journey. We invite you to apply today.

Requirements

• Be a Registered Health Information Administrator or Registered Health Information Technician or equivalent experience, with a Certified Coding Specialist Certification
• Have a minimum of two years of progressive coding and/or billing and registration functions in a healthcare setting and experience utilizing ICD-9/10-CM and CPT-4 in medical/physician specialties
• Have a background in Anatomy, Physiology, Clinical Medicine, and Medical Terminology
• Be a graduate of an accredited coding program with certification of completion or successful completion of college-credited coursework in Medical Terminology, Anatomy & Physiology, and Pathophysiology/Disease Processes/Pharmacology
• Have experience with claim edits, compliance with Medicare Coverage Determinations (MCD), National Coverage Determination (NCD), and payer-specific edits as outlined via contractual agreements
• Serve as an information resource and guide to clinicians, champion the need to change coding behaviors, and serve as a subject matter expert
• Submit any issues or trends found within documentation of a physician and/or physician extender to that provider directly or to supervisor
• Review to ensure that clinical documentation substantiates the evaluation and management, procedures, and modifier selected in accordance with Federal, State, and system documentation and coding requirements
• Manage and resolve Zero-Pay Worklist, Fully Worked Receivables, complete special project work, review and respond to adjustments/payment data with approval (or initiate appeal) communicate trends and root issues through proper lines of reporting
• Have the ability to read and interpret medical terminology and apply coding skills utilizing knowledge of anatomy, physiology, and disease processes as well as procedural coding
• Prior experience in coding mentorship and compliance review is preferred, particularly with physicians/providers
• Must be detail-oriented and have sound computer skills
• Experience with review of electronic health records software applications

Nice To Haves

• Prior experience in coding mentorship and compliance review is preferred, particularly with physicians/providers

Responsibilities

• Assigns diagnostic and procedural codes consistent with ICD-10 and CPT-4 guidelines
• Meets quality expectations for documentation review, coding, and productivity standards
• Performs assigned duties in accordance with health system-specific coding policies and procedures
• Assists HRPAS hospital-based providers with instruction, feedback, and documentation review in their particular specialty area
• Remains current with latest healthcare technology and coding advice through reading available coding literature, attendance of seminars and in-services, internet research, and other educational resources
• Collaborates with charge entry personnel to ensure proper entry of diagnostic and billing codes in accordance with guidelines
• Performs duties in support of Redeemer Health's mission to ensure the highest quality of patient care in an economically sound and efficient manner

Benefits

• Medical and dental coverage
• Access to childcare & fitness facilities on campus
• Investment in retirement
• Community events
• Education assistance
• Scholarships
• Career training

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree