Provider Coding Specialist Ii - Remote

Description

PeaceHealth is seeking a Provider Coding Specialist II for a Full Time, 1.00 FTE, Day position. The general salary range for this job opening at PeaceHealth is $29.48 – $44.22. The actual hiring rate is dependent upon several factors, including but not limited to, the job/position responsibilities, location, terms of the applicable collective bargaining agreement, education, training, work experience, seniority, work performance, etc.

This position is remote and requires the caregiver to reside in OR, WA, AK or TX by date of hire.

JOB SUMMARY

This position is responsible for the review of clinical documentation and assignment of ICD-10-CM, CPT-4, HCPCS, modifier, for professional services in all settings.

ESSENTIAL FUNCTIONS

• Maintains communication and relationships with PFS billing and customer service staff.
• Participates in meetings including, departmental, provider, clinical operations, billing using virtual technology or face to face as needed.
• Collaborates with coding reviewer by providing feedback regarding trends identified during the daily coding process and attends provider reviews as assigned,
• Utilizes computer assisted coding tools, in accordance with, established coding workflows.
• Collaborates with billing and customer service team to resolve insurance denials and patient disputes in a timely fashion utilizing established workflows
• Prioritizes coding functions as directed by coding leadership and organizes job functions and work assignments to efficiently complete tasks within the established time frames
• Performs coding of charge sessions in assigned work queue using established coding and regulatory guidelines for Provider Based, Method II, Rural Health, and free-standing clinics.
• Conducts provider queries of identified documentation issues utilizing EHR established workflows
• Performs other duties as assigned.

QUALIFICATIONS

EDUCATION:

• Graduate of a formal coding program or combination of education and experience that provides the caregiver with the requisite knowledge, skills and abilities to perform the job required.

EXPERIENCE/TRAINING:

• Knowledge including, as appropriate, ICD-10, and HCPCS/CPT coding, regulatory Medicare, Medicaid and third-party regulations.
• Minimum of three years’ experience in physician professional coding in a medical care facility, billing office or medical records department.

LICENSE/CERTIFICATION:

• CCS-P (Certified Coding Specialist-Physician Based) or Certified Professional Coder (CPC) or other HIM recognized; related credential preferred. If not currently certified, must obtain within one year of employment.

OTHER SKILLS:

• Critical thinking and problem-solving skills required.
• Good verbal and written communication skills
• Proficiency in coding Professional Inpatient and/or Ambulatory Care, Emergency Department and Outpatient medical records with ICD-10 CM and CPT4 classification systems with expertise in one or more specialty area.
• Familiarity with medical billing software and electronic medical record preferred.
• Proficient in the use of MS Office applications including Excel and Word.
• Adept and proficient in windows-based computer environment with respect to coding software systems.

PHYSICAL / COGNITIVE REQUIREMENTS:

• Duties require the ability to concentrate or pay close attention to detail (more than 65% of work time).
• Work requires normal amounts of physical effort from up to 65% of the time.
• Ability to lift objects weighing 30 lbs. or less.
• Work is performed under normal working conditions with adequate lighting and ventilation. extended periods of sitting while reviewing records and entering clinical data into a computer monitor where noise level is moderate.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.

PeaceHealth requires a completed Primary Vaccine Series (e.g., 2 dose monovalent Pfizer, Moderna or Novavax series or 1 dose J&J vaccine series) or be Up to Date (receiving the most recent Pfizer/Moderna bivalent vaccine/booster) for COVID-19 vaccination prior to their start date. PeaceHealth has a medical and religious exemption request process for those that are unable to receive the COVID-19 primary vaccine series due to medical/religious reasons. For caregivers that will be working in Oregon there is a personal vaccine exemption form that may be requested.