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Coding Revenue Integrity Specialist (RIS) - ProFee Job in Alpharetta, Georgia

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Job Title: Coding Revenue Integrity Specialist (RIS) - ProFee

Employer:nThrive
Type:FULL TIME
Job Location:Remote
Skills:Review,analyze and interpret the medical record to identify all diagnoses and procedures documented during the service.  Must possess thorough knowledge of ICD-10-CM,CPT,HCPCS,Modifiers,and other coding principles and applications as they apply to Professional Fee coding. Thorough Knowledge of ICD-10-CM Official Coding Guidelines and payer specific requirements. Meets regularly with providers to review analysis and provide education.
Specialties: Pulmonology, Cardiology, urology, GI and General Surgery
Required Certifications:Certified Professional Coder (CPC),CCS-P (Certified Coder Specialist – Physician (CCS-P) with the appropriate level of experience,Registered Health Information Technologist (RHIT),Registered Health Information Administrator (RHIA)
Preferred Certifications:Certified Professional Coder (CPC),CCS-P (Certified Coder Specialist – Physician (CCS-P) with the appropriate level of experience,Registered Health Information Technologist (RHIT),Registered Health Information Administrator (RHIA)
Required Experience:3 to 4 years
Preferred Experience:3 to 4 years
Location:200 North Point Center Alpharetta 30022, GA, US
* Note: This listing is for a remote position
Date Posted:6/7/2021

Revenue Integrity Specialist (RIS) - ProFee

REMOTE POSITION

SUMMARY:  The Revenue Integrity Specialist (RIS) is a coder responsible for conducting medical record compliance audits for documentation, billing, and compliance with state and federal requirements for professional fee coding. The RIS shares audit results with providers and conducts ongoing education. In addition, the RIS is responsible for reviewing all external coding audits and responding to audit findings.

Specialties:  Pulmonology, Cardiology, urology, Behavioral Health, GI and General Surgery

Education/Certification: The following are recognized certifications from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC): Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), CCS-P (Certified Coder Specialist Physician (CCS-P) with the appropriate level of experience.

Experience: A minimum of three years coding experience in the outpatient setting (physician’s office or ambulatory surgery centers) within the last five years, including assignment of E&M, CPT, and HCPCS codes. Multiple specialties encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes. Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E&M codes do not count as qualifying experience. Additionally, coding, auditing and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience. Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) is not a qualifying factor.

SKILLS:  Review, analyze and interpret the medical record to identify all diagnoses and procedures documented during the service.  Must possess thorough knowledge of ICD-10-CM, CPT, HCPCS, Modifiers, and other coding principles and applications as they apply to Professional Fee coding.  Thorough Knowledge of ICD-10-CM Official Coding Guidelines and payer specific requirements.  Meets regularly with providers to review analysis and provide education.  


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