[Hiring] Pro Fee Coding Specialist @Saint Francis Health System

Role Description

The Pro Fee Coding Specialist reviews documentation and reviews, adds or corrects diagnosis and procedure codes that have been submitted by the provider. This role utilizes coding knowledge learned through valid coding resources in decision making.

Qualifications

• Minimum Education: GED or High School diploma.
• Licensure, Registration and/or Certification:
  • (CCS) Certified Coding Specialist - American Health Information Management Association (AHIMA)
  • (CPC) Certified Professional Coder - American Association of Professional Coders (AAPC)
  • (BCHH-C) Board Certified Home Health Coding Credentialing – WellSky
  • (RHIA) Registered Health Information Administrator - American Health Information Management Association (AHIMA)
  • (RHIT) Registered Health Information Technician - American Health Information Management Association (AHIMA)
  • Hierarchical Conditions Categories (HCCS) from The Compliance Certification Board (CCB)
• The applicant will need to obtain the certification within one year of hire if they do not have a required certification.
• Work Experience: None. Experience and/or training in the anatomy and physiology of the human body and disease processes preferred. 2 years related experience preferred.

Requirements

• Sound knowledge and understanding of the content of the medical record to locate information for coding.
• Basic encoder skills.
• Knowledge of Microsoft 365 and other applicable software.
• Excellent communication skills, both written and verbal.
• Effective interpersonal, organizational, and multitasking skills.
• Ability to determine whether a record is complete enough to code or should be held for more documentation.
• Ability to work independently and collaboratively in a fast-paced environment.
• Ability to manage multiple priorities with competing deadlines.

Benefits

• Codes as assigned from review of medical record documentation.
• Applies knowledge of current coding and billing requirements to ensure 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.
• Educates providers and office staff regarding documentation coding and billing changes and regulations.
• Works collaboratively with providers, office staff, billing personnel, quality department, compliance, and coding resources.
• Stays updated on coding rules, attends seminars, and reviews coding periodicals.

Company Description

Health Information Ambulatory Coding - Yale Campus

Location: Virtual Office, Oklahoma 73105

EOE Protected Veterans/Disability