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