Professional Coding Consultant Senior I

Intermountain Health • Greenville, SC

1d • $31 - $48 • Onsite

About The Position

Provide intermediate-level expertise in the areas of national physician code sets, insurance reimbursement, coding compliance issues, and internal coding policies, procedures, and processes, to employed and contracted Intermountain primary care physicians, advanced practice clinicians (APC), their managers, and staff. Essential Functions Provide prospective (pre-billing) coding reviews to Intermountain providers and staff. Develop and presents prepared single specialty technical and process-based clinical documentation and coding education for providers, managers and staff. Participate in resolving questions from the Medical Group Coding Helpline for assigned specialties. Support higher-level consultants and managers in their responsibilities and acts as an overflow in support of other departmental processes and functions as assigned. Manage assigned area(s) or responsibility and workload. Develop understanding and correct application of general ICD and CPT guidelines. Maintain subject-matter expertise and educates providers and staff accordingly. Support all internal (Professional Coding and Reimbursement) departmental functions and processes.

Requirements

• Healthcare Common Procedure Coding System (HCPCS)
• ICD Coding
• Medical Billing and Coding
• Medical Insurance Coding
• Medical Records Management
• Coding Education
• Coding Practices
• Clinical Documentation
• Health Administration
• CPC or equivalent national professional coding certification. -OR- Certification obtained within 1 year of hire date
• Demonstrated experience as a trainer, educator, or consultant.
• Demonstrated experience in coding or auditing.
• Demonstrated experience in a role requiring subject-matter expertise in consulting on coding-related issues.
• Demonstrated understanding of medical terminology, medical acronyms, anatomy and physiology, knowledge at a specialty-specific level.
• Demonstrated excellent written/verbal communication and presentation skills.
• Ability to travel.

Nice To Haves

• Degree in a related field.
• Degree must be obtained through an accredited institution. Education is verified.
• Four years of experience as a trainer, educator, or consultant.
• Two years of experience in coding or auditing.
• One year of experience in a role requiring subject-matter expertise in consulting on coding-related issues.
• One year of experience interpreting national regulatory guidance.
• Experience with calendaring, email, word processing, and spreadsheet applications, Centricity Business (IDX), Help2, EMR and Microsoft Access.
• Understanding of, and experience in, Professional Coding and Reimbursement department policies, procedures, and guideline interpretations.
• Competence in the utilization of Professional Coding and Reimbursement department tools, databases, and reports to track progress on assigned projects and produce meaningful information for provider practices.

Responsibilities

• Provide prospective (pre-billing) coding reviews to Intermountain providers and staff.
• Develop and presents prepared single specialty technical and process-based clinical documentation and coding education for providers, managers and staff.
• Participate in resolving questions from the Medical Group Coding Helpline for assigned specialties.
• Support higher-level consultants and managers in their responsibilities and acts as an overflow in support of other departmental processes and functions as assigned.
• Manage assigned area(s) or responsibility and workload.
• Develop understanding and correct application of general ICD and CPT guidelines.
• Maintain subject-matter expertise and educates providers and staff accordingly.
• Support all internal (Professional Coding and Reimbursement) departmental functions and processes.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Learn more about our comprehensive benefits package here.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed