Coding Specialist Jobs

About The Position

Requirements

• 1 year of experience developing and coordinating small or department programs
• 1 year of experience in a professional working environment
• 3 years of experience in coding in a hospital or physician practice/clinic setting
• Bachelor’s degree in business administration, accounting, finance, or related area
• Certified Coding Specialist (CCS) from the American Health Information Management Association
• Certified Coding Specialist - Physician (CCS-P) from the American Health Information Management Association
• Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC)
• Demonstrated ability to develop and manage budgets and other financial skills
• Strong communication, facilitation, and presentation skills
• Strong interpersonal skills, including demonstrated experience working collaboratively with teams and employees at all levels within an organization
• Must possess excellent customer service skills
• Must have strong analytical and critical thinking skills to support problem solving and associated change management
• Demonstrated success in program development, project planning, and project management
• Ability to multitask, balance multiple priorities, and work independently and within teams
• Personal organization and time management
• Demonstrated knowledge of the conventions, rules, and guidelines for multiple classification systems, including ICD-10 diagnosis and procedures, CPT and evaluation & management coding systems
• Knowledge of multiple reimbursement systems (e.g., Medicare Severity-Diagnosis Related Groups (MS-DRG) and Ambulatory Payment Classification (APC)
• Knowledge of clinical documentation improvement concepts
• Ability to accurately interpret and implement regulatory standards, including the National Correct Coding Initiative (NCCI) and Medically Unlikely Event (MUE) policies
• Strong understanding of data security and patient confidentiality issues
• Ability to work within a team environment as well as work independently

Nice To Haves

• Master's degree
• Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA) certification from the American Health Information Management Association
• Vendor management experience
• Experience optimizing Epic revenue cycle applications
• Demonstrated experience developing and interpreting revenue cycle data using Epic, SQL reporting, Microsoft Access, QlikView data visualization or similar technologies

Responsibilities

• Oversees coding programs and processes to support the revenue cycle strategy.
• Manages external vendor relationships and budgets.
• Reconciles daily file transfers to all outsourced coding vendors.
• Monitors coding productivity for all outsourced entities, assesses coding backlogs and validates that the vendor is meeting all production service level agreements.
• Reviews coding quality reports provided by the vendor and validates that the vendor is meeting all quality service level agreements.
• Develops action plans where productivity and quality do not meet service level agreements.
• Reconciles monthly invoices to work completed and achievement of service level agreements.
• Addresses inquiries from parents, insurance companies, and revenue cycle staff regarding coding and charging for assigned entities.
• Main point of contact between coders and providers for documentation related queries.
• Creates, manages, and executes project scope, schedule, resources, and change management initiatives.
• Communicates and documents project plan, status updates, business goals, and governance plan to team and stakeholders effectively.
• Identifies and manages project risks, issues, and opportunities.
• Collaborates with internal and external partners on assigned tasks as the subject matter expert for assigned responsibilities and activities.
• Ensures project deliverables are completed on time, of a high quality, and on budget.
• Develops and maintains strong working relationships with clinical teams.

Benefits

• Comprehensive compensation and benefit package