Lead Medical Coding Specialist - Meadowbrook, United States - Holy Redeemer Health System

Mark Lane

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Mark Lane

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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 Lead Specialist will assist assigned HRPAS hospital-based providers with instruction, feedback and documentation review in their specialty area.

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.

Regardless of position, every job contributes to the challenge of providing health care. There is an ongoing responsibility for ensuring that the values of Respect, Compassion, Justice, Hospitality, Holitisic Approach, Stewardship, and Collaboration are present in our interactions with one another and in the services we provide


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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