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Medical Coding & Auditing Specialist Job in Stillwater, Minnesota

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Job Title: Medical Coding & Auditing Specialist

Employer:Bluestone Physician Services
Type:FULL TIME
Job Location:Partial Remote
Skills:Medical Coding Certification,ICD-10,CPT,HCPCS codes and claim regulatory guidelines
Required Certifications:CPT or CEMC
Required Experience:1 to 2 years
Location:270 North Main Street, Suite 300 Stillwater 55082, MN, US
Date Posted:3/26/2021

Bluestone Physician Services provides expert, on-site care to patients in assisted living communities in Minnesota, Wisconsin and Florida. We provide geriatric primary care, care coordination, integrated care, and psychiatric services.  At Bluestone, our employees are our most valuable asset. We know our success is only possible through the hard work and dedication of each of our employees. 

We are growing - join us in this exciting new role based out of our Stillwater, MN office! 

In this multifaceted role, the Medical Coding & Auditing Specialist is responsible for performing clinical documentation & coding reviews using established standards and codes to optimize reimbursement and ensure compliance for services provided, and analyzing claims for proper documentation and coding, in compliance with state and federal guidelines.

Responsibilities:

  • Analyze supporting medical record documentation for professional services to ensure that appropriate ICD-10-CM, CPT, HCPCs codes are assigned according to established correct coding guidelines and standards of ethical coding. 
  • Consult with clinical providers for coding and documentation clarification when necessary.
  • Conduct prospective and retrospective clinical documentation and coding reviews.
  • Provide individual and group feedback and education to clinical providers, medical staff and other staff as a result of the coding reviews and identified coding trends, in accordance with the established compliance plan.
  • When provider documentation issues are identified, work with clinical operations and compliance staff to implement corrective action plans.
  • Create and revise education and training materials related to documentation & coding
  • Answer coding questions from providers and other staff as needed.
  • Maintain plan for monitoring and tracking of coding and coding compliance activities.
  • Work in conjunction with clinical operations team to evaluate any special requests for review of appropriate coding due to patient complaints, denials, rejections, incorrect coding, etc., and provide feedback to the inquiring source.
  • Ongoing review and tracking of insurance rejections/denials with coding discrepancies, contacting insurance companies when necessary.

Qualifications:

  • Current Medical Coding Certification required
  • Hierarchical Condition Category (HCC) experience preferred
  • Medical billing experience preferred
  • Knowledge of medical terminology and understanding of patient care notes
  • Knowledge of ICD-10, CPT, HCPCS codes and claim regulatory guidelines
  • Computer proficiency including ability to navigate electronic medical records system, Google Business Suite, and equipment such as iPhone and iPad
  • Excellent organizational skills with the ability to prioritize and work in a fast-paced environment
  • Strong attention to detail, follow-through, and commitment to quality
  • Work independently and proactively with minimal direction/supervision
  • Excellent interpersonal and customer service skills
  • Strong written and verbal communication skills
  • Skilled in identifying and resolving problems
  • Ability to deal with change and ambiguity
  • Demonstrated compatibility with Bluestone’s mission and operating philosophies
  • Demonstrated ability to read, write, speak, and understand the English language

Bluestone offers excellent Benefits to our employees including:

  • Competitive wages
  • Health Insurance
  • Dental Insurance
  • Vision Materials Insurance
  • Company paid Life Insurance
  • Company paid Short and Long-term Disability
  • Health Savings Account (HSA)
  • Flexible Spending Account (FSA) 
  • Retirement plan with 4% matching contributions
  • Paid Time Off (PTO)
  • Nine paid (non-working) holidays
  • Regular business hours; no weekends

Why Bluestone?

Bluestone Physician Services was founded in 2006, and is now on the leading edge of Healthcare delivery. We bring healthcare services to the patients that we serve within the comfort of their own homes. Bluestone is one of the largest providers of residential primary-care in the nation, serving thousands of patients across multiple states within Assisted Living Homes, Memory Care Units, and Group Homes. Bluestone has been named to the Star Tribune's Top Workplaces in MN, making the list 8 year's in row!

Applying

Apply via Careers Website - Medical Coding & Auditing Specialist

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