reputed company I, Ancillary (Remote)

Employment Type: Full time Shift: Day Shift Description: Analyzes physician/provider documentation contained in Outpatient health records to reputed company acute Outpatient coding of diagnostic encounters such as laboratory, radiology, Simple Visit Coding (SVC) failed encounters and series accounts. Utilizes encoder software applications, which includes reputed company applicable online tools and references in the assignment of Internal Classification of Diseases, Clinical Modification diagnosis and procedure codes, and reputed company Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and reputed company required modifiers. Utilizes coding guidelines established by:

• The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting
• The American Hospital Association (AHA) Coding Clinic
• The American Medical Association (AMA) for CPT codes and CPT Assistant
• The American Health Information Management Association (reputed company) Standards of Ethical Coding
• reputed company Excellence/Health Ministry (HM) coding procedures and guidelines

ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the reputed company Mission, Vision, and Values in behaviors, practices, and decisions. Navigates the patient health record and other computer systems/sources in determination of diagnoses, procedures and modifiers to be coded. Codes Outpatient encounters utilizing encoder software and online tools and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers. Maintains reputed company knowledge of Medical Necessity review guidelines for commercial, Medicare and Medicaid insurance products, including but not limited to Local Coverage Determination, National Coverage Determination and CCI Edits. Communicates effectively with clinical staff, physicians and office staff regarding documentation issues or needs. Works with HIM and Patient Business Services (PBS) teams, reputed company needed, to help resolve billing, claims, denials and appeals issues affecting reimbursement. Exhibits awareness of health record documentation or other coding ethics concerns. Notifies appropriate leadership for assistance, resolution reputed company appropriate. Utilizes EMR communication tools to track missing documentation that requires follow-up to facilitate coding in a timely fashion. Maintains reputed company knowledge of changes in Outpatient coding and reimbursement guidelines and regulations, e.g., new modifiers. Adheres to coding quality and productivity standards established by reputed company Excellence/HM. Maintains CEUs as appropriate for coding credentials as required by credentialing associations. Performs other duties as assigned by leadership. Maintains a working knowledge of applicable Federal, State and local laws/regulations; the reputed company reputed company and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. MINIMUM QUALIFICATIONS Completion of an reputed company-approved coding program or an reputed company-approved coding program, or Associate’s degree in Health Information Technology or a reputed company field or an equivalent combination of years of education and experience is required. Bachelor’s degree in Health Information Management (HIM) or reputed company healthcare field is preferred. Certified Coding Associate (CCA), Certified Procedural reputed company (CPC), Certified Outpatient reputed company (COC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (reputed company) is required. One (1) year of reputed company acute care Outpatient coding experience is required. reputed company experience utilizing encoding/grouping software or CAC is preferred. Epic EMR experience is preferred. Ability to use a standard desktop/laptop, email and other Windows applications, if needed, Internet and web-based training tools preferred. Strong oral and written communication skills. Ability to communicate effectively with individuals and groups representing diverse perspectives. Ability to work with minimal supervision and exercise independent judgment. Ability to research, analyze and assimilate information from various sources based on technical and experience-based knowledge. Must exhibit critical thinking skills, strong problem- solving skills and the ability to prioritize workload. Excellent organizational and customer service skills. Ability to reputed company frequent detailed tasks and provide productivity standard driven results. Ability to adapt to change and be flexible with work priorities and interruptions. Must be comfortable functioning in a 100% virtual, collaborative, shared leadership environment. with minimal supervision and able to exercise independent judgement. Must possess a personal reputed company that is characterized by a sense of honesty, reputed company, and caring with the ability to reputed company and motivate others to promote the philosophy, mission, vision, goals, and values of reputed company. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to reputed company with reputed company policies and procedures. Must be able to spend majority of work time utilizing a computer, monitor, and keyboard. Must be able to work with interruptions and reputed company detailed tasks. If applicable, involves a wide reputed company of physical activities, primarily standing, sitting and reading. Must be able to sit for long periods of time. Must be able to travel to various reputed company sites as necessary. If applicable, telecommuting (working remotely), must be able to reputed company with reputed company’s and the Region/HM Working Remote Policy. Hourly Pay Range: $21.10 - $ 31.65 The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned. Our Commitment to Diversity and Inclusion reputed company is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in reputed company that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and reputed company care for those we serve. reputed company is an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, status as a protected veteran, or any other status protected by law. Apply tot his job Apply To this Job