Coding Validation Spec 2

Inova Health System•United States,

10d•$29 - $47•Remote

About The Position

Inova Health is looking for a dedicated Coding Validation Specialist 2 to join the PB Coding Operations team. This is a full-time, day shift position, Monday-Friday, with general office hours, and it is a remote role. This position is eligible for remote work for candidates residing in VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Requirements

High School diploma or GED
One years of coding experience required.
One of the following credentials required: CPC-A, CPC, COC, CCS, CCS-P, CCA or RHIT.

Responsibilities

Codes and reviews assigned records within the defined quality standards of 95 percent for diagnosis, CPT, modifier and evaluation/management code assignments.
Ensures that the coding and review of assigned records within the defined productivity standards, based on service-line production standards, equate to eight – 10 charts per hour.
Actively participates in coding education sessions.
Reviews and analyzes all pertinent documentation in the medical record to support identification and assignment of appropriate code selection for the level of service provided by the physician or mid-level provider.
Reviews and revises, as necessary, required data elements initially identified by other staff (e.g. patient type, admitting diagnosis, referring physician for consult codes, or admit type with appropriate place of service).
Ensures correct CPT code selection for the level of service billed (i.e. POS to IP code mismatch, or invalid code for POS; changes consult code to E/M based on payer-specific criteria).
Communicates with the responsible physician or mid-level provider accordingly to obtain additional supporting documentation, or clarification required for code assignments and processes, including following an escalation or secondary review as necessary.
Assigns and revises all codes, modifiers, and edits using 3M coding software.

Benefits

medical, dental and vision coverage
a robust team member wellness program
Inova matches the first 5% of eligible contributions – starting on your first day.
up to $5,250 per year in education assistance
up to $10,000 for student loans.
25 mental health coaching or therapy sessions, per person, per year, at no cost.
paid time off
paid parental leave
flexible work schedules
remote and hybrid career opportunities.