Role Description
Assists coders, compliant documentation management staff, and the Internal Revenue Integrity team with complex patient care cases by analyzing documentation and discussing correct code assignment.
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Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software for patterns of coding errors and opportunities for coder and/or clinical education.
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Serves as a technical expert/resource for department manager, staff, physicians, administrative, and external customers to provide information or clarification on accurate and ethical coding and documentation standards, guidelines, and regulatory requirements.
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Performs other duties as assigned by management.
Qualifications
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Requires a University Degree and minimum 5 years of prior relevant experience; (Relevant experience may be substituted for formal education or advanced degree).
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Currently certified as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC).
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A strong outpatient coding background at a senior level including coding of outpatient/inpatient charts, E/M charging, injection and infusions charging, as well as data management and coder audit and education experience.
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Must maintain credential throughout employment.
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A minimum of two years of people leadership experience is required.
Requirements
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Experience working in any of the following systems: EPIC, Cerner, Solventum, and PwC SMART.
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Knowledge of Anatomy, Physiology, and Medical Terminology.
Benefits
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Medical, Rx, Dental & Vision Insurance
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Personal and Family Sick Time & Company Paid Holidays
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Position may be eligible for a discretionary variable incentive bonus
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Parental Leave
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401(k) Retirement Plan
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Basic Life & Supplemental Life
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Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
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Short-Term & Long-Term Disability
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Tuition Reimbursement, Personal Development & Learning Opportunities
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Skills Development & Certifications
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Employee Referral Program
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Corporate Sponsored Events & Community Outreach
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Emergency Back-Up Childcare Program