Coding Re-imbursement Spec II
8111 South Emerson Avenue
Indianapolis, IN 46237
WHAT WE NEED
Detail-oriented, multi-tasking coding reimbursement specialist
WHO WE ARE LOOKING FOR
Good learners. Accurate reviewers. Our health information coding reimbursement specialists are an important part of the health information team. Ensuring procedures are accurately recorded and the charge master is up to date is a big part of the job. The other part? Being able to follow state and federal compliance regulations.
Are you timely and accurate? Are you detail-oriented? Do you love knowing that you're an integral part of the team? We've got a great place to put your skills to work.
WHAT YOU WILL DO
Collaborate with Revenue Cycle and Clinical Departments to ensure compliant billing practices are maintained.
Collaborate with clinical departments and physicians for documentation improvement as well as with regional clinical leadership to respond to changes in clinical practice.
Ensure charges and corresponding CPT codes flow properly between the chargemaster and the secondary systems used for charging/documentation.
Identify and implement process improvements according to industry best practice standards to make the best use of resources, contain costs and improve coding services across the specialized service lines.
Maintain the chargemaster for their specific service line procedures.
Monitor activities and ensure documentation and codes are compliant with research regulatory requirements.
Monitor changes to coding methodologies, official coding guidelines, regulatory standards, and reimbursement schemes.
Provide specialized training for coding staff related to service line assigned such as teaching coders clinical details for new procedures.
Review medical records to ensure appropriate assignment of cath lab and interventional radiology codes and corresponding charges.
Serve as coding subject matter expert for the Cath Lab and/or Interventional Radiology coding methodologies.
WHAT IT TAKES TO SUCCEED
Prior experience as a Radiology Tech or RN Cath Lab Nurse.
RHIT/RHIA wiht previous experience coding cath lab and/or IR.
Knowledge of types of health information and the rules and regulations surrounding their use and Managed Care requirements under the Medicare/Medicaid and other third party payor programs.
Advanced understanding of CPT coding and coding guidelines and understanding of payer relationships, requirements and compliant billing practices.
Interpret test results and formulate reports.
Understanding of common medical terminology, anatomy and physiology amd terminology used in diagnosis and classification of illnesses, injuries, and disabilities.
Knowledge of pharmaceutical terminology, generic and trade names, and ICD coding.
Understanding of anatomy and physiologic concepts as they relate to relevant diagnostic testing and course of treatment.
Critically evaluate and analyze information in written materials.
Maintain a positive approach, work cooperatively with others, and demonstrate a constructive response to criticism.
Proficient in Microsoft Office Applications.
Effectively communicate verbally and in writing as appropriate for the needs of the audience.
WHAT WE'RE LOOKING FOR
5-10 Years Experience
License(s): Radiation Therapy
Certification(s): Certified Coding Specialist
Travel: Never or Rarely
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
BILLING & HEALTH INFORMATION
Nearest Major Market: Indianapolis