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Pro Fee Coding Specialist

Job not on LinkedIn

🔥 0 minutes ago

🌪️ Oklahoma – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 10%

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Logo of Saint Francis Health System

Saint Francis Health System

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

• Review medical record documentation and add or correct diagnosis and procedure codes submitted by providers • Code assigned records using current coding and billing requirements • Monitor coding and billing performance and resolve denials related to coding errors • Review charge corrections and rebilling for coding-denial resolution • Analyze claims-denial data and develop preventative measures • Prepare periodic reports for clinical staff identifying corrective measures • Advise and instruct providers on documentation and billing policies, procedures, and regulations • Obtain clarification for conflicting, ambiguous, or nonspecific documentation • Educate providers and office staff on documentation, coding, billing changes, and regulations • Collaborate with providers, office staff, billing personnel, quality, compliance, and coding resources • Stay updated on coding rules and attend seminars and review coding periodicals • Work directly with patients, customers, healthcare professionals, and staff

🎯 Requirements

• Previous experience strongly preferred • Minimum education: GED or High School diploma • Must hold one of the following certifications: CCS, CPC, BCHH-C, RHIA, RHIT, or HCCS; applicants without a required certification must obtain one within one year of hire • Knowledge and/or training in anatomy and physiology of the human body and disease processes preferred • 2 years related experience preferred • Sound knowledge of medical records and coding specificity • Basic encoder skills • Knowledge of Microsoft 365 and applicable software • Ability to determine whether records are complete enough to code • Ability to work independently and collaboratively in a fast-paced environment • Ability to manage multiple priorities and competing deadlines

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