Coding Educator / Analyst

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Job Field: Office Jobs
Location: Vermillion, SD 57069; Mitchell, SD 57301; Plankinton, SD 57368

Salary: $Not Specified
Job Type: Full Time

JOB SUMMARY:

Position requires knowledge of ICD-9-CM, ICD-10-CM and CPT coding principles and guidelines. Knowledge of reimbursement systems, as well as federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing. Knowledge of coding guidelines and reimbursement reporting requirements. Knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and the metric system to identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record Knowledge of the AAPC Standards of Ethical Coding Excellent written and oral communication skills including verbal communication skills to include public speaking Above average problem solving skills and excellent customer service skills Computer skills in Microsoft Word and Excel Prefer experience with an applicable computer based business software such as EPIC Ability to work with an automated, computer focused workflow system Some travel may be required. Salary is commensurate with experience and qualifications. Responsibilities: Building client relationships while working on assigned projects Ability to demonstrate strong communication skills both written and oral. Working collaboratively within a team setting Understands CPT & ICD9 coding methodologies Analyze and Assign CPT, ICD-9 and HCPCS codes based on services provided by physicians and providers Provide feedback and education related to coding and documentation reviewed to both internal coding staff and external client providers and personnel Implement, communicate, educate and ensure adherence to all billing guidelines, to include both government and commercial payers Must be able to articulate ways to improve the organization’s Compliance efforts based on auditing and monitoring trends Understand, promote and encourage ethical conduct and ensure compliance with governmental laws, rules and regulations. Monitor government agency communications and raise awareness of any high risk billing practices that have the potential to indicate fraud or abuse. Review coding denials from payers and recommend appropriate action to resolve the claim based on payer guidelines Maintain knowledge of coding and regulatory changes and compliance requirements Provide coding support for medical procedures and/or E&M coding Other work as necessary Education: Clinical Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) Prefer experience with one or more applicable physician-based computer clinical and business software including, but not limited to: EPIC, GE, Next Gen, LSS, Meditech, and/or eClinical Works Qualifications: Two years of professional coding experience is preferred Understanding of CPT and ICD-9 coding The company offers competitive compensation packages including an incentive compensation plan, comprehensive medical / dental / life insurance, 401(k) and employee stock purchase plans.

KEY REQUIREMENTS:

Experience 24 months Education Education Preferred GED/High School Equivalent

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Coding Educator / Analyst