Lead Medical Coding Specialist - Meadowbrook, United States - Holy Redeemer Health System
Description
PS HR Administration- Full-Time
- Day
- M
- F 8am 4:30pm
Weekend Requirements:
None
LEAD CODING/REVENUE CYCLE SPECIALIST
SUMMARY OF JOB:
The Lead Specialist assigns diagnostic and procedural codes consistent with ICD-10 and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and Coding Clinic publication, and AMA's publication, CPT Assistant, for assigned hospital-based professional service areas of HRPAS-employed practitioners.
The position collaborates with charge entry personnel to ensure proper entry of diagnostic and billing codes in accordance with guidelines and for assigned areas and will trouble-shoot any system or payer rejections for coding and/or documentation purposes.
In addition, the Lead Specialist will oversee the daily workflow of the Suite 210 hospital-based professional Billing Office.CONNECTING TO MISSION:
All individuals, within the scope of their position are responsible to perform their job in light of the Mission & Values of Redeemer Health.
RECRUITMENT REQUIREMENTS:
- Registered Health Information Administrator or Registered Health Information Technician or equivalent experience, with a Certified Coding Specialist Certification.
- Graduate of an accredited coding program with certification of completion or successful completion of college credited course work in Medical Terminology, Anatomy & Physiology and Pathophysiology/Disease Processes/Pharmacology
- Prior experience in coding mentorship and compliance review preferred particularly with physicians/providers.
- Must be detail oriented and have solid computer skills.
- Proven communication skills to interact with charge entry personnel, hospitalbased coding staff, and HRPAS hospitalbased providers.
LICENSE AND REGULATORY REQUIREMENTS:
Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)
**EOE
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