Providence Hiring for Coding and Reimbursement Specialist *Telecommute* at Portland, Oregon Full Time

Description

Coding and Reimbursement Specialist – Support Admin at Revenue Cycle Business Services – Remote within footprint states: AK, CA, MT, OR, TX and/or WA.

Applies CPT-4 codes to hospital accounts based on documentation provided by physicians for cardiovascular and interventional radiology cases. Adheres to strict federal coding rules in selecting codes that appropriately reflect the condition, which the patient had, and the care that was provided. Balances need for 95% accuracy against timely completion for billing deadlines. Assists other areas in the hospital in the review, corrections, and rebills of coded accounts.

• Knowledgeably applies CPT charge codes to accounts for compliant and complete charging of Cath Lab and Interventional Radiology service lines.

• RCS Coding and Reimbursement Specialist shall review medical record (surgical logs) for incomplete/missing physician and nursing documentation and facilitate resolution through the department for correction.

• Responsible for review and resolution of department charge review WQ and CCI/NCCI edits.

• Respond to all requests from Revenue Integrity and Department Liaisons/Billing with questions on surgical log charges.

• Respond to requested charging audits (RAC, Internal and External audits).

• Provides feedback and education to department leaders on charging and documentation errors.

• Provide education to supported departments on any new CPT/charging practices that will affect the work flow.

• Maintain up to date knowledge of the current changes of coding practices by reading source material, such as Coding Clinic, Medicare Newsletters, Dr. Z, and other professional journals.

• Attend department meetings and attend/read all education workshops, or any other required meetings as determined by department leadership.

• Track ongoing issues and escalate to department leadership in a timely manner.

Required qualifications:

• Coursework/Trained in use of at lease one encoder product or equivalent education/experience.

• Completion of coding classes in AHIMA certified coding program.

• 4 years CPT, ICD-10-PCS, and ICD-10-CM acute care hospital coding experience. Ambulatory Coding and Clinical experience may be considered in lieu of acute hospital coding experience.

• Registered Health Information Administrator (RHIA).or;

• Registered Health Information Technician (RHIT).or;

• Certified Coding Specialist (CCS) or AAPC Certified Professional Coder (CPC, COC,CIC, CIRCC)

Preferred qualifications:

• Associate’s/Bachelor’s Degree in Health Information Management.

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About the department you will serve.

One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.

We offer a full comprehensive range of benefits — see our website for details — http://www.providenceiscalling.jobs/rewards-benefits

About Us

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Requsition ID: P365168
Company: Providence Jobs
Job Category: Clinical Quality
Job Function: Quality/Process Improvements
Schedule: Full time
Shift: Day
Career Track: Admin Support
Department: 4001 SS RC REV INTEGRITY
Address: OR Portland 4400 NE Halsey St