Professional Services Coding Specialist
Company Name:
Renown Health
Professional Services Coding SpecialistRequisition ID: 118673
Department:530540 MSO Billing
-Reno, NV->
Facility:Renown Health
Schedule:Full Time - Eligible for Benefits
Shift:Day
Hours:0800-1700
Position Purpose:
TheProfessional Services Coding Specialistis primarily responsible for determining strategy and implementing processes for educating providers, revenue cycle staff and other stakeholders on appropriate billing and documentation criteria to support compliance and reimbursement of professional services.This position is also responsible for review and maintenance of the professional charge capture documents/processes to ensure regulatory rules and regulations are followed.
Nature and Scope:
TheProfessional Services Coding Specialistis responsible for:
Providing orientation and in-service training for all departments relating to appropriate billing, coding, and documentation practices.
Performing data analysis and reporting within Epic to monitor and ensure charge capture and revenue integrity.
Developing and making recommendations for accurate set-up of new charge capture build in accordance with billing policies and reimbursement principles, clinical documentation practices, and coding standards.
Maintaining a current working knowledge of trends, regulations, and issues concerning third party payers.
Helping design, measure and maintain quality metrics for accuracy including goals and process improvement plans.
Ensuring accurate Charge Capture outcomes and optimal reimbursement in accordance with state, federal, and other third-party payer billing and reimbursement guidelines.
Continually reviewing and monitors regulatory requirements to ensure charge capture practices are accurate and compliant.
Participating as a subject matter expert in cross-functional teams on projects such as Epic implementations, new facilities/acquisitions, and new departments, or service lines.
Researching and recommending changes to existing Epic build to automate processes that will lead to enhanced reimbursement and reduction of denied claims.
Working collaboratively with members of various departments to drive decisions that meet system, payer and workflow requirements.
This positiondoes notprovide patient care.
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum
Qualifications:Requirements - Required and/or Preferred
Education:
Must have working-level knowledge of English language, including reading, writing and speaking English.Bachelor s degree in related field required.Applicable work experience may be considered in lieu of degree on a year for year basis.
Experience:
Requires four years of progressively responsible experience in healthcare billing and professional services coding; including ICD.9, ICD.10 and CPT coding.
License(s):
None
Certification(s):
Certification in CPC, CCS, RHIA, RHIT or other accredited specialty coding certification.
Computer / Typing:
Must be proficient with Microsoft Office Suite, including Outlook,Power Point, Excel, Word and Visio, andhave the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
EEO/M/F/V/DEstimated Salary: $20 to $28 per hour based on qualifications.
Renown Health
Professional Services Coding SpecialistRequisition ID: 118673
Department:530540 MSO Billing
-Reno, NV->
Facility:Renown Health
Schedule:Full Time - Eligible for Benefits
Shift:Day
Hours:0800-1700
Position Purpose:
TheProfessional Services Coding Specialistis primarily responsible for determining strategy and implementing processes for educating providers, revenue cycle staff and other stakeholders on appropriate billing and documentation criteria to support compliance and reimbursement of professional services.This position is also responsible for review and maintenance of the professional charge capture documents/processes to ensure regulatory rules and regulations are followed.
Nature and Scope:
TheProfessional Services Coding Specialistis responsible for:
Providing orientation and in-service training for all departments relating to appropriate billing, coding, and documentation practices.
Performing data analysis and reporting within Epic to monitor and ensure charge capture and revenue integrity.
Developing and making recommendations for accurate set-up of new charge capture build in accordance with billing policies and reimbursement principles, clinical documentation practices, and coding standards.
Maintaining a current working knowledge of trends, regulations, and issues concerning third party payers.
Helping design, measure and maintain quality metrics for accuracy including goals and process improvement plans.
Ensuring accurate Charge Capture outcomes and optimal reimbursement in accordance with state, federal, and other third-party payer billing and reimbursement guidelines.
Continually reviewing and monitors regulatory requirements to ensure charge capture practices are accurate and compliant.
Participating as a subject matter expert in cross-functional teams on projects such as Epic implementations, new facilities/acquisitions, and new departments, or service lines.
Researching and recommending changes to existing Epic build to automate processes that will lead to enhanced reimbursement and reduction of denied claims.
Working collaboratively with members of various departments to drive decisions that meet system, payer and workflow requirements.
This positiondoes notprovide patient care.
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum
Qualifications:Requirements - Required and/or Preferred
Education:
Must have working-level knowledge of English language, including reading, writing and speaking English.Bachelor s degree in related field required.Applicable work experience may be considered in lieu of degree on a year for year basis.
Experience:
Requires four years of progressively responsible experience in healthcare billing and professional services coding; including ICD.9, ICD.10 and CPT coding.
License(s):
None
Certification(s):
Certification in CPC, CCS, RHIA, RHIT or other accredited specialty coding certification.
Computer / Typing:
Must be proficient with Microsoft Office Suite, including Outlook,Power Point, Excel, Word and Visio, andhave the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
EEO/M/F/V/DEstimated Salary: $20 to $28 per hour based on qualifications.
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