[Hiring] Pro Fee Coding Specialist @Saint Francis Hospital, Inc.
Mar 20, 2025 - Saint Francis Hospital, Inc. is hiring a remote Pro Fee Coding Specialist. 💸 Salary: unspecified. 📍Location: USA.
Role Description
The Pro Fee Coding Specialist performs diagnosis and/or procedural coding as assigned in order to apply the appropriate diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.
- Codes as assigned from review of medical record documentation.
- Applies knowledge of current coding and billing requirements to assure claims are submitted correctly.
- Monitors coding and billing performance and resolves denials related to coding errors.
- Performs review for charge corrections and rebilling as required for resolution of coding denials.
- Develops preventative measures in response to patterns identified through analysis of claims denial data; prepares periodic reports for clinical staff, identifying corrective measures to resolve denial problems.
- Advises and instructs providers regarding documentation and billing policies, procedures and regulations; interacts with providers regarding conflicting, ambiguous or non-specific documentation, obtaining clarification of same.
- Educates providers and office staff regarding documentation coding and billing changes and regulations to assure compliance with local, state and national policies.
- Works collaboratively with providers, office staff, billing personnel, quality department and compliance, and coding resources to ensure accurate coding.
Qualifications
- Commensurate education with achieving qualifications to sit for Certification Exam(s) as related to ICD-10, CPT and other related specialty certifications.
- Certified Coder through AAPC, AHIMA, BCHH-C, HCCS for Home Health or National Healthcare Association.
- Applicants who have not yet achieved a coding certification may be considered when work experience is at least two years.
- The applicant will need to obtain the certification within one year of hire.
- 0 - 2 years related experience including a demonstrated thorough understanding of the content of the medical record.
- Requires experience and/or training in the anatomy and physiology of the human body and disease processes.
Requirements
- Basic computer and encoder skills.
- Effective interpersonal, oral and written communication skills.
- Ability to organize and prioritize work in an efficient and effective manner.
- Uses good judgment when determining whether a record is complete enough to code or should be held for more documentation.
- Ability to maintain continuing education credits for credentialed coders and stay updated on coding rules.
- Ability to be cooperative, dependable and responsive to the changing nature of the coding workflow.
- Ability to be flexible when asked to do different assignments.
Company Description
Saint Francis Health System is an integrated health system in Tulsa, Oklahoma, with an emphasis on a complete continuum of care. With more than 10,000 employees, 1,000 physicians and 90 locations, Saint Francis Health System provides the community's largest network of healthcare services, all united by one mission: to extend the presence and healing ministry of Christ in all we do.
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| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
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Salary
💸
unspecified
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Mar 20, 2025
|
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
