The Department of Pediatrics in
the School of Medicine is seeking a Physician Coding Quality Analyst to join
the Clinical Finance team to review physician documentation for the
appropriate application of CPT/ICD10-CM coding guidelines. Will provide
yearly coding updates, new provider training and other physician education as
Lead the planning and
operations for programs or functions that have significant business, regulatory
and/or technical challenges requiring subject matter expertise.
Evaluate programs or functions,
policies and procedures. Identify issues, and develop alternative solutions
which may include changes to programs, policies and procedures.
Review and analyze trends to
advise and develop recommendations to achieve or modify the goals of the
program or function.
Represent the program or
function within the department, unit or school. Commit resources and provide
information and/or training. Represent the program or function at the
university level and/or to external/internal stakeholders and constituencies.
Manage and contribute to the
development of outreach strategy that may include relationship development,
communications and compliance
Assess training needs and may
develop associated training.
Auditing and reviewing medical
documentation for appropriate CPT coding and documentation
Perform training and education
to physicians regarding coding and documentation.
Analyze trends and provide
recommendations to leadership
Perform audits of documentation
& coding of inpatient and/or outpatient professional fee services;
Work with LPCH Revenue Cycle
leadership and division faculty to improve efficiency and timeliness of billing
* - Other duties may also be
Ability to apply critical
thinking skills to coding policy interpretation and implementation
well-organized and able to set priorities with minimal direction
Effectively communicate both
verbally and in writing
Strong PC skills; Excel, Word,
PowerPoint and internet based program
EDUCATION & EXPERIENCE (REQUIRED):
Bachelor's degree and five years of relevant experience, or
combination of education and relevant experience.
Active CPC or CCS-P
certification required. Additional CPMA certification a plus. Inpatient and
Outpatient Evaluation and Management coding proficiency required.
KNOWLEDGE, SKILLS AND ABILITIES (REQUIRED):
Demonstrated ability to
establish priorities, manage shifting priorities, and handle numerous
time-sensitive projects with multiple deadlines.
Ability to accomplish goals
working through formal and informal channels, with diplomacy and tactfulness.
problem solving, critical analysis, initiative, judgment and, decision-making
Demonstrated ability to develop
and meet department goals.
Demonstrated solid planning and
Demonstrated experience working
independently and as part of a team.
written and oral communication skills.
Strong relevant subject matter
CERTIFICATIONS & LICENSES:
Active CPC or CCS-P
certification required. Additional CPMA certification a plus.
Constantly perform desk-based
Frequently stand/walk, sitting,
grasp lightly/fine manipulation.
Occasionally use a telephone.
objects that weigh 11-20 pounds.
* - Consistent with its obligations
under the law, the University will provide reasonable accommodation to any
employee with a disability who requires accommodation to perform the essential
functions of his or her job.
Job Code: 4122
Employee Status: Regular
Department URL: http://pediatrics.stanford.edu/
Requisition ID: 89042