Professional CDI Specialist - FT - Day - Physician Professional Coders Remote

Capital Health (US)

4d•$29 - $38•Remote

About The Position

Facilitates compliant physician coding and documentation for accurate assignment of diagnosis, Evaluation and Management and Current Procedural Terminology codes. Performs ongoing audits on medical record for accurate assignment and to ensure all industry guidelines, laws and regulations are met. Performs physician education on proper documentation to support code selections. Identifies and reports coding errors to Physician Fee Supervisor to review and respond. Reviews and responds to all denials as well as requests for records.

Requirements

High School Diploma, Associates degree in Health Information Management preferred.
Certified Professional Coder (CPC) or Certified Coding Specialist-Physician-based (CCS-P) required.
Physician coding and Training certification.
Three years experience in physician coding role.
Outpatient ICD 9/10, CPT, CM, and HCPCS coding experience.
Excellent verbal and written communication skills.
Knowledge of pathophysiology and disease processes.
Strong knowledge of industry guidelines and laws for physician coding and reimbursement.
Possesses research and analysis skills.
Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint or Access.
Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge.
Ability to develop, implement and deliver, and assess coding education plans using a variety of methods to individual providers or provider groups.
Ability to learn and develop auditing and education skills to perform physician education.
Ability to work collaboratively with others as well as independently.

Nice To Haves

Auditing experience preferred.

Responsibilities

Audits medical record documentation for accurate assignment of diagnosis, current procedural terminology, and evaluation and management codes.
Research coding and reimbursement issues and reports findings to management, physicians, and staff.
Provides ongoing education to physicians, and LIP's on documentation requirments for accurate code assignments.
Works with supervisor for any training related questions.
Performs internal quality assessment reviews on physician (professional) coding to ensure compliance with national coding guidelines and Capital Health's policies for complete, accurate and consistent coding which results in appropriate reimbursement ad data integrity.
Assists with preparation and presentation of monitoring results for review with physicians and hospital leadership.
Attends hospital and medical staff meetings to respond to documentation related issues.
Provides support for coding provider-based billing related claims, this includes coding professional fees.
Facilitates change processes required to capture needed documentation such as forms design.
Assists in appeals process resulting from third party reviews.
Maintains level of expertise through continuing education.
Maintains appropriate productivity levels.

Benefits

Medical Plan
Prescription drug coverage & In-House Employee Pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care FSA
Retirement Savings and Investment Plan
Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
Disability Benefits – Long Term Disability (LTD)
Disability Benefits – Short Term Disability (STD)
Employee Assistance Program
Commuter Transit
Commuter Parking
Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child
Voluntary Legal Services
Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
Voluntary Identity Theft Insurance
Voluntary Pet Insurance
Paid Time-Off Program