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Job Field: Legal Jobs
Location: LAKEWOOD, WA
Salary: $-
Job Type: Part Time

JOB SUMMARY:

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               <td align="left"><font style="font-size: 100%;">Title: Coding Specialist - FMG - Central Administration<BR>Location: WA-Tacoma-Fmg-Central Administration<BR>Job Number:_1200020285<BR>Job Summary: <BR><BR>This position is responsible for implementing the daily coding, billing compliance and auditing functions of the facility. The specialist supports the coordinators in researching, updating standard policies and procedures, and training materials. These standards are in adherence with applicable federal and state law, and the program requirements of federal, state and private health plans. The specialist is responsible for timely, accurate and comprehensive review of services. This position is responsible for identifying compliance issues and analyzing practice patterns, verifying charges, and assigns valid ICD-9 and CPT codes to ensure appropriate reimbursement and compliance with all regulatory guidance. This position works with the Coding Compliance Educators by identifying trends and educational opportunities with providers to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. This position meets regularly with the Supervisor Coding and Billing Compliance to ensure risks are identified and prioritized across the revenue cycle function.<BR><BR>Essential Duties:<BR>* <BR>Reviews comprehensive services, identifies compliance issues, analyzes practice patterns, and verifies charges; assigns valid ICD-9 and CPT codes to ensure appropriate reimbursement and compliance with all regulatory guidance.<BR>* <BR>Adheres to Coding Audit and Monitoring Work Plan.<BR>* <BR>Understands and applies changes in the external regulatory environment and stays current with coding updates.<BR>* <BR>Meets production standards for coding procedures.<BR>* <BR>Supports the coordinators and educators in researching, updating standard policies and procedures and training materials.<BR>* <BR>Works with the Coding Compliance Educators by identifying trends and educational opportunities with providers to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty.<BR>* <BR>Assists denial review team with insurance carrier payment denials and recommends appropriate billing corrections. Compose appeal letters as needed.<BR><BR>Qualifications:<BR><BR>Education:<BR>* High school diploma or equivalent.<BR>Experience:<BR>* <BR><BR>2 years experience in ICD-9 and CPT coding in acute care or ambulatory care setting required<BR>* <BR><BR>Experience in provider coding and documentation auditing preferred   <BR>License/Certification:<BR>* <BR>Coding certification through AHIMA (CCS, CCS-P) or the AAPC (CPC) required<BR>Additional Responsibilities:<BR>* Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.<BR>* Adheres to and exhibits our core values:<BR>Reverence:Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us.<BR>Integrity:Moral whol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               </font></td>
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