Coding Validation Specialist 3

Inova•United States,

1d•$30 - $50•Remote

About The Position

Inova Health is looking for a dedicated Coding Validation Specialist 3 to join the team. This is a full-time position with a Day Shift schedule, Monday–Friday, general office hours, and will be performed remotely. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience, and is recognized as a top employer in the D.C. metro area and the nation.

Requirements

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

Nice To Haves

Strong general surgery coding experience

Responsibilities

Codes and reviews assigned records with defined productivity standards of four charts per hour for complex/intermediate surgeries and five charts per hour for simple surgeries.
Actively participates in internal pre-bill coding audits, independent coding audits, and coding education sessions.
Enhances professional growth and development by participating in other relevant continuing education activities.
Maintains or surpasses Inova Health System-defined quality standards for accurate assignment and validation of the Evaluation and Management (E/M) assignment of 95 percent.
Ensures correct CPT code for the level of service billed (i.e. Place of Service, Observation codes for Observation Status; Inpatient Codes for Inpatient Status).
Changes consult codes based on Payer requirements to the appropriate E/M code and appropriate units and/or modifiers maintaining an accuracy of 95 percent or greater.
Verifies the accuracy, completeness, and quality of ICD-10-CM, CPT-4, and HCPC coding including modifiers, units, and other variables impacting workload accountability and billing.
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.

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.