Role Description
Responsible to provide education to CBO Coders along with Physicians, non-Physician practitioners, and office staff, including but not limited to:
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Verifying and/or analyzing medical record and/or encounter form documentation to determine the principal and all secondary diagnoses and procedures.
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Assigning diagnostic codes, procedural codes, and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS) and Munson.
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Performing data entry and discrepancy resolution.
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Serving as a liaison between CBO and sites/departments.
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Assisting in the orientation and training of new employees within the coding and charge capture area.
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Creating and maintaining an internal education program for all CBO coding staff.
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Leading Coder Roundtable meetings, including creating agenda, meeting content, and presenting.
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Leading projects regarding changes and updates to all coding and documentation for professional services.
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Serving as an expert resource for physicians, office management staff, and central billing staff, including in-person or virtual education and researching and responding to coding and compliance questions.
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Coordinating accurate assignment of procedure codes and modifiers.
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Reviewing office-based electronic charges and encounter forms for completion and accuracy, including accuracy of ICD9/10CM, CPT, and HCPCS modifier assignment, with a coding accuracy rate of 95%.
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Reviewing and interpreting physician documentation of surgical procedures to accurately assign and enter billing codes, identifying all applicable diagnosis procedures and codes, with a coding accuracy rate of 95%.
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Working with the central billing team to ensure charges are coded and entered within charge lag time frame.
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Identifying educational needs and/or compliance issues and reporting them to the Manager of Central Billing Office.
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Resolving coding discrepancies related to coding and revenue capture.
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Obtaining and maintaining education appropriate to the position.
Qualifications
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Associateβs degree in Health Record Technology or related healthcare field and five years of professional coding experience, and must obtain the credentials of a Certified Professional Coder (CPC), Certified Coding Specialist β Physician-based (CCS-P), Certified Cardiology Coder (CCC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).
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OR seven years of professional coding experience and has obtained the credentials of a Certified Professional Coder (CPC).
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Demonstrated previous experience with healthcare-related educational activities required.
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Must be able to problem-solve and communicate in a professional manner with physicians, staff, and other healthcare professionals.
Requirements
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7 years of cardiology coding experience (preferred).
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Experience creating and presenting information to Healthcare Providers and Coders (preferred).
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Auditing experience (preferred).
Benefits
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Tuition reimbursement, in-person and online development, and access to our career hub to help you advance.
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Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling.
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Free wellness platform for you and your family, plus personalized support for personal or family challenges.
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Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings.