Pro Fee Coding Specialist

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🕒 4 days ago

🌪️ Oklahoma – Remote

🌪️ Oklahoma – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Saint Francis Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1960

🏥 Healthcare

🏨 Hospitality

🤝 Non-profit

Healthcare • Hospitality • Non-profit

Saint Francis Health System is a healthcare organization based in Tulsa, Oklahoma that operates multiple hospitals, clinics, specialty centers, and support services across eastern Oklahoma. It offers a broad range of clinical services including primary care, cardiology and heart & vascular services, cancer care, neurosciences, behavioral and mental health, orthopedic care, women’s and pediatric care, imaging & lab services, rehabilitation, hospice and home care, trauma services, and specialty institutes (e. g. , Heart and Vascular Institute, Trauma Institute, Children’s Hospital). The system provides urgent care, virtual urgent care, in-home urgent care via DispatchHealth, emergency care including a pediatric emergency center, and many outpatient clinics and diagnostic services. It also supports physician services, medical education (OSU residency partnership), community outreach, financial assistance, patient billing/price transparency, charitable giving, and volunteer programs. The organization lists locations, patient resources, MyChart patient portal, and administrative functions (careers, supplier info, privacy and compliance notices).

📋 Description

• 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; interacts with providers regarding conflicting, ambiguous or none-specific documentation, obtaining clarification of the 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. • Stays updated on coding rules, attends seminars and reviews and coding periodicals.

🎯 Requirements

• 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), or 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. • Experience and/or training in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded, preferred. • 2 years related experience, preferred. • Sound knowledge and understanding of the content of the medical record in order to be able to locate information to support or provide specificity for coding. • Basic encoder skills. • Knowledge of Microsoft 365 and other applicable software. • Excellent communication skills, both written and verbal that present clear and concise information. • Effective interpersonal, organizational, and multitasking skills. • Ability to determine whether a record is complete enough to code or should be held for more documentation. • Sound ability to be cooperative, dependable and responsive to the changing nature of the coding workflow. • Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities with competing deadlines.

🏖️ Benefits

• None specified