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Physician Coding Quality Analyst Job in Redwood City, California

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Job Title: Physician Coding Quality Analyst

Employer:Stanford School of Medicine
Type:FULL TIME
Job Location:Partial Remote
Skills:Coding,Billing,Compliance,Auditing
Specialties:Pediatric Multi Specialty
Required Certifications:CPC
Preferred Certifications:CPMA,CPC
Required Experience:5 to 7 years
Preferred Experience:5 to 7 years
Location:455 Broadway Street, D522 Redwood City 94063, CA, US
Date Posted:6/8/2021

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 needed.



Duties include:

·        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 sheet submission.                                                                                

* - Other duties may also be assigned

DESIRED QUALIFICATIONS:

·        Ability to apply critical thinking skills to coding policy interpretation and implementation

·        Work independently; 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.

·        Demonstrated creativity, problem solving, critical analysis, initiative, judgment and, decision-making skills.

·        Demonstrated ability to develop and meet department goals.

·        Demonstrated solid planning and organizational skills.

·        Demonstrated experience working independently and as part of a team.

·        Excellent interpersonal, written and oral communication skills.

·        Strong relevant subject matter knowledge.

CERTIFICATIONS & LICENSES:

Active CPC or CCS-P certification required. Additional CPMA certification a plus.

PHYSICAL REQUIREMENTS*:

·        Constantly perform desk-based computer tasks.

·        Frequently stand/walk, sitting, grasp lightly/fine manipulation.

·        Occasionally use a telephone.

·        Rarely lift/carry/push/pull 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.

WORKING CONDITIONS:

 

Additional Information

·        Schedule: Full-time

·        Job Code: 4122

·        Employee Status: Regular

·        Grade: J

·        Department URL: http://pediatrics.stanford.edu/

·        Requisition ID: 89042

Applying

 https://careersearch.stanford.edu/jobs/physician-coding-quality-analyst-12648



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