Coding & Compliance Specialist

Description

Schedule: Monday - Friday 8am -4:30pm

Required Job Specific Competencies:

• Demonstrates skills in customer service, communication, team building and problem solving.

• Demonstrates competency in all areas of hospital third party insurance billing including federal and state regulations.

• Demonstrates skill in proactively resolving problems, recommending, and implementing process changes.

• Demonstrates skill in communicating with patients, payer representatives and associates throughout the Health System.

• Coordinates and conducts periodic medical record audits for providers to assess compliance with coding (over/under coding, trends), billing, documentation, and payer regulations. Develops reports as directed. Reports findings to management and providers.

• Electronic Medical Record experience preferred

• Highly organized and detail oriented

Qualifications:

• CPC-A required, CPC or CPC-H preferred

• Excellent communication skills and ability to form collaborative partnerships across all service settings.

• Proficient in the use of Electronic Medical Records (EMR); ability to create reports on own and interface with EMR vendor to develop reports where none currently exist

• Extensive knowledge RBRVS and federal, state, and other payer regulations pertaining to documentation, coding (E&M, modifiers, critical care) and billing.

• Ability to analyze coding and actively question and guide providers and/or Billing staff as appropriate.

• Strong medical terminology background

• Competent in Microsoft Office products (Word, Excel, Outlook, PowerPoint). Self-directed, self-starter and able to implement new program

• Accepts responsibility and follows through on projects and activities.

• Ability to assimilate new information and technologies into daily work.

Education:

• CPC-A required

• CPC or CPC-H preferred

• Associates degree, preferred

Experience:

• 3-5 years of healthcare experience, preferred

• Billing Experience preferred

• Excellent public/patient relations and communication skills.

• Skills in using computers including Excel and Word required.

Pay Range: $20.00 - $25.00/hour

Starting Pay: Based on Experience

Thompson Health is an EOE encouraging individuals with disabilities, and veterans to apply.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

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