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Revenue Integrity Coding Specialist Job in Linthicum, Maryland

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Job Title: Revenue Integrity Coding Specialist

Employer:University of Maryland Medical System
Type:Full-Time
Skills:CPT (Current Procedural Terminology),and ICD-10 coding
Required Certifications:AAPC or AHIMA
Required Experience:1 to 2 years
Location:Linthicum, MD
Date Posted:7/18/2019

Revenue Integrity Coding Specialist

University of Maryland Medical System – Linthicum, MD

 

WHAT YOU WILL DO:

Under general supervision, this position will review and resolve National Correct Coding Initiative, Outpatient Claim Editor, and Medically Unlikely Edits related to facility charge capture and coding for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10 diagnosis coding and CPT-4 procedure coding classification systems.

Knowledge of CPT, HCPCS, and revenue codes for accuracy and compliance with all state and federal guidelines.

 

• Responsible for reviewing and resolving charge capture, coding, and revenue integrity check workqueues in Epic.

• Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.

• Communicates with various departments within the hospitals regarding billing and charge capture issues. Refers any problems to management timely, providing clear details.

• Responsible for making independent decisions regarding charge adjustments and other charge resolution techniques.

• Advises management of possible billing problems.

• Complete all tasks in a timely manner with accurate documentation.

 

WHAT YOU NEED TO BE SUCCESSFUL:

•           Associates or Bachelor’s degree preferred.

•           AAPC or AHIMA certification required.

•           Two years minimum experience working hospital coding related edits.

•           EPIC EMR experience in preferred.

•           Concern for quality and ability to identify errors and implement corrections.

•           Ability to interpret and implement regulatory standards.

•           Serves as a resource to others in the resolution of problems and issues.

•           Effective communication, interpersonal and customer service skills, with the ability to work with all levels within the organization.

•           Excellent organization skills, demonstrates confidence and creativity.

•           Strong time management skills and keen attention to detail.

•           Self-motivated, detail oriented, problem solver.

•           Knowledge and ability to learn and understand HSCRC/CMS regulations, CPT (Current Procedural Terminology), and ICD-10 coding.

•           Ability to operate a personal computer is required. Proficiency with the following applications is required: MS Excel, MS Word, and PowerPoint.  MS Access, SAS, & Tableau is preferred.

•           Ability to handle confidential issues with integrity and discretion.

•           Ability to prioritize and manage work in a stressful environment.

 

Apply online at: https://jobs.umms.org/ShowJob/JobId/2073495/Revenue-Integrity-Coding-Specialist

 

EOE/AA Revenue Integrity Coding Specialist

University of Maryland Medical System – Linthicum, MD

 

WHAT YOU WILL DO:

Under general supervision, this position will review and resolve National Correct Coding Initiative, Outpatient Claim Editor, and Medically Unlikely Edits related to facility charge capture and coding for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10 diagnosis coding and CPT-4 procedure coding classification systems.

Knowledge of CPT, HCPCS, and revenue codes for accuracy and compliance with all state and federal guidelines.

 

• Responsible for reviewing and resolving charge capture, coding, and revenue integrity check workqueues in Epic.

• Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.

• Communicates with various departments within the hospitals regarding billing and charge capture issues. Refers any problems to management timely, providing clear details.

• Responsible for making independent decisions regarding charge adjustments and other charge resolution techniques.

• Advises management of possible billing problems.

• Complete all tasks in a timely manner with accurate documentation.

 

WHAT YOU NEED TO BE SUCCESSFUL:

•           Associates or Bachelor’s degree preferred.

•           AAPC or AHIMA certification required.

•           Two years minimum experience working hospital coding related edits.

•           EPIC EMR experience in preferred.

•           Concern for quality and ability to identify errors and implement corrections.

•           Ability to interpret and implement regulatory standards.

•           Serves as a resource to others in the resolution of problems and issues.

•           Effective communication, interpersonal and customer service skills, with the ability to work with all levels within the organization.

•           Excellent organization skills, demonstrates confidence and creativity.

•           Strong time management skills and keen attention to detail.

•           Self-motivated, detail oriented, problem solver.

•           Knowledge and ability to learn and understand HSCRC/CMS regulations, CPT (Current Procedural Terminology), and ICD-10 coding.

•           Ability to operate a personal computer is required. Proficiency with the following applications is required: MS Excel, MS Word, and PowerPoint.  MS Access, SAS, & Tableau is preferred.

•           Ability to handle confidential issues with integrity and discretion.

•           Ability to prioritize and manage work in a stressful environment.

 


Applying

Apply online at: https://jobs.umms.org/ShowJob/JobId/2073495/Revenue-Integrity-Coding-Specialist

 

EOE/AA 

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