Professional Coding and Documentation Improvement Specialist

🔥 1 hour ago

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

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

💵 $29 - $38 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 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

• Facilitate compliant physician coding and documentation for accurate assignment of diagnosis, Evaluation and Management (E&M), and Current Procedural Terminology (CPT) codes • Monitor medical record documentation content to ensure compliance with industry guidelines, laws, and regulations • Provide provider feedback and education on proper documentation to support code-level selections • Identify and report recurring coding and documentation improvement areas to leadership • Review and respond to requests for coding and documentation education • Support proactive documentation improvement initiatives within Capital Health Medical Group • Review medical record documentation for accurate assignment and support of diagnosis, CPT, and E&M codes • Monitor provider-selected E&M codes to ensure documentation supports medical necessity, code specificity, and compliance • Develop and deliver education materials promoting clear, accurate, and complete documentation • Meet or exceed departmental accuracy and productivity standards • Communicate documentation opportunities and monitoring results clearly and constructively to providers • Foster teamwork and collaboration • Attend hospital and medical staff meetings regarding documentation issues • Partner with revenue cycle teams to resolve complex coding-related issues • Support professional coders with pre-bill edits as needed • Facilitate changes required to capture needed documentation on EMR templates • Assist in appeals resulting from third-party reviews • Act as a subject matter expert for professional coding and documentation improvement questions • Perform other duties as assigned

🎯 Requirements

• High School Diploma or equivalent • 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 • Research and analysis skills • Proficient with Microsoft Outlook, Word, Excel, and PowerPoint • Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge • Ability to develop, implement, deliver, and assess coding education plans using a variety of methods • Ability to work using multiple EMR systems • Ability to work collaboratively and independently • Candidates must be located in New Jersey, Pennsylvania, or Alabama

🏖️ Benefits

• Medical Plan • Prescription drug coverage & In-House Employee Pharmacy • Dental Plan • Vision Plan • Flexible Spending Account (FSA), including Healthcare FSA and Dependent Care FSA • 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, including Voluntary Life Spouse, Voluntary Life Employee, and 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 • Bonus and/or incentive eligibility determined by role and level