Employer: | Skagit Regional Health |
Type: | OTHER |
Skills: | CPT,ICD-10 coding systems and chart auditing |
Required Certifications: | CPC-H,or ability to obtain within one year of employment.,AAPC (CPC,or one of the relevant AAPC specialty specific coding credentials). Certified Professional Medical Auditor (CPMA) required |
Preferred Certifications: | CPMA |
Required Experience: | 1 to 2 years |
Location: | ,Mount Vernon 98273, WA, US |
Date Posted: | 10/11/2019 |
We are looking for an experienced Medical Coder to audit and analyze our coding function and provide feedback to coders and clinicians regarding coding and documentation.
What you will do:
• Responsible for auditing, training, consultation, and providing feedback to coders and clinicians regarding coding and documentation to ensure SRH receives appropriate reimbursement and conforms to applicable guidelines and regulations.
• Advocate compliance with all third party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid programs.
• Serve as the coding subject matter expert for coders and providers.
• Perform audits utilizing an in-depth knowledge of ICD-10, CPT and HCPCS coding, Correct Coding Initiatives (CCI) and documentation guidelines.
• Provide training for all new coders and as needed when coding issues are identified or new procedures are initiated.
• Provide day-to-day support to coders responding to questions related to coding and documentation.
• Perform coding reviews for coders and providers based on areas of deficiency.
• Support the development and documentation of coding policies and procedures.
• Utilize understanding of Practice Management system to recommend Master File changes to facilitate correct claims coding per carrier specifications. \
What you will need:
• High school diploma or equivalent required. Knowledge of medical terminology and hospital staffing preferred.
• At least two years of CPT, ICD-10 coding systems and chart auditing experience preferred.
• Experience working in a medical office setting required, with demonstrated understanding of standard insurance reimbursement methodologies preferred.
• Experience educating physicians regarding coding, charting and other relevant processes, in an individual and group setting preferred. Knowledge of medical terminology and anatomy and ancillary tests/procedures
• One of the following coding credentials required: AAPC (CPC, CPC-H, or one of the relevant AAPC specialty specific coding credentials). Certified Professional Medical Auditor (CPMA) required, or ability to obtain within one year of employment.