Coding and Documentation Improvement Specialist

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🔥 8 minutes ago

🏈 Alabama, New Jersey, +1 more states – Remote

🏈 Alabama – Remote 🏖️ New Jersey – Remote 🔔 Pennsylvania – Remote

💵 $29 - $38 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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HCA Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

🏥 Healthcare

🧬 Biotechnology

💰 Post-IPO Debt on 2014-06

Healthcare Insurance • Healthcare • Biotechnology

HCA Healthcare is a leading healthcare provider in the United States, dedicated to delivering high-quality medical services through a vast network of hospitals and outpatient facilities. They focus on enhancing patient care and improving health outcomes by utilizing advanced technologies and evidence-based practices. HCA Healthcare is committed to excellence and innovation in the health service sector.

📋 Description

• Facilitates compliant physician coding and documentation for accurate assignment of diagnosis, Evaluation and Management (E&M) and Current Procedural Terminology (CPT) codes • Performs ongoing monitoring of medical record documentation content to ensure all industry guidelines, laws and regulations are met • Performs provider feedback and education on proper documentation to support code level selections • Identifies and reports recurring coding and documentation improvement areas to leadership to review and respond • Reviews and responds to requests for coding and documentation education • Supports proactive documentation improvement initiatives within Capital Health Medical Group (CHMG) • Reviews medical record documentation for accurate assignment and support of diagnosis, CPT, and E&M codes • Monitors provider selected E&M codes on a routine and focused basis to ensure documentation supports medical necessity, code specificity, and compliance to promote the highest coding accuracy • Develops and delivers education material to promote clear, accurate and complete documentation and compliance with professional coding standards • Meets or exceeds departmental accuracy and productivity standards • Communicates documentation opportunities and monitoring results in a clear, constructive, and provider-friendly manner • Fosters teamwork and collaboration • Attends hospital and medical staff meetings to respond to documentation related issues • Partners with revenue cycle teams to resolve complex coding-related issues • Supports professional coders with pre-bill edits as needed • Facilitates change processes required to capture needed documentation on EMR templates • Assists in appeals process resulting from third party reviews • Acts as a subject matter expert for professional coding and documentation improvement questions • Performs all other duties as assigned

🎯 Requirements

• High School Diploma or equivalent • Associate's degree in health information management preferred • Certified Professional Coder (CPC) or Certified Coding Specialist-Physician-based (CCS-P) required • Physician coding and Training certification • Two years’ experience in professional coding role • ICD-10-CM, CPT, CM, and HCPCS coding experience • Excellent verbal and written communication skills • Knowledge of pathophysiology and disease processes • Strong knowledge of industry guidelines and laws for physician coding and reimbursement • Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint • Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge • Ability to develop, implement and deliver, and assess coding education plans using a variety of methods to individual providers or provider groups • Ability to work in environment using multiple EMR systems • Ability to learn and develop documentation and education skills to perform physician education • Ability to work collaboratively with others as well as independently

🏖️ Benefits

• Medical Plan • Prescription drug coverage & In-House Employee Pharmacy • Dental Plan • Vision Plan • Flexible Spending Account (FSA) - Healthcare • FSA - Dependent Care • Retirement Savings and Investment Plan • Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance • Supplemental Group Term Life & Accidental Death & Dismemberment Insurance • Disability Benefits – Long Term Disability (LTD) • Disability Benefits – Short Term Disability (STD) • Employee Assistance Program • Commuter Transit • Commuter Parking • Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child • Voluntary Legal Services • Voluntary Accident, Critical Illness and Hospital Indemnity Insurance • Voluntary Identity Theft Insurance • Voluntary Pet Insurance • Paid Time-Off Program