What are the responsibilities and job description for the Coding Specialist position at Four Seasons?
Our Accolades.
Four Seasons is proud to have been named one of Modern Healthcare’s Best Places to Work, and to have been Living Wage Certified in Western North Carolina . Our approach to providing not only excellent care to our patients and families, but also providing the same heartfelt care and commitment to our employees, leads us to be recognized as not only a leader in hospice and palliative care, but also a beacon of excellence as an employer in Western North Carolina.
Benefits
Our Benefits. Four Seasons offers an excellent benefits package for both full time and part time eligible employees, which may include:
Job Code: Billing
Reports To: Director of Billing and Access
Status: Non-Exempt
FT, PT, PRN: PRN
Shift: refer to offer letter
Location: Flat Rock OR Remote
Position Summary
The Coding Specialist is responsible for the correct application of ICD-10-CM, HCPCS, and CPT codes to facilitate reimbursement and reporting requirements. The Coding Specialist will be a team player that can collaborate with multiple departments regarding the status of coding. The Coding Specialist will identify opportunities for improvement and work with appropriate staff to ensure that documentation is compliant with coding guidelines. The Coding Specialist will identify trends in data and communicate potential training needs to professional development staff and leadership , Assignment of diagnostic and/or procedure codes will require supporting medical and clinical documentation found within the patient’s record or referred documents. Documents used in the review may include, but are not limited to the comprehensive assessment, physician narratives, medication profile, and referral source data.
Essential Duties & Responsibilities
Minimum Qualifications:
All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the duties of the position. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Additional functions and requirements may be assigned as deemed appropriate.
In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals.
Four Seasons is proud to have been named one of Modern Healthcare’s Best Places to Work, and to have been Living Wage Certified in Western North Carolina . Our approach to providing not only excellent care to our patients and families, but also providing the same heartfelt care and commitment to our employees, leads us to be recognized as not only a leader in hospice and palliative care, but also a beacon of excellence as an employer in Western North Carolina.
Benefits
Our Benefits. Four Seasons offers an excellent benefits package for both full time and part time eligible employees, which may include:
- Competitive Salaries, Reviewed Annually
- Annual Operational Performance Bonus Opportunities
- $0 Employee Premiums on Medical Insurance
- Annual $600 Well-Care Benefit Towards Self-Care, Childcare, Pet Care, or Elder Care
- Medical & Dental Insurance Benefits First of the Month after Hire
- 403B Retirement Plan with Employer Match
- Generous Paid Time Off Package of 20 Days of PTO Per Year
- Up to 6 Paid Holidays
- Employer Paid STD, LTD, & Life Insurance
- Employer Paid Teletherapy & Telemedicine Coverage
- Health & Dependent Care Flexible Spending Accounts
- A Robust Employee Wellness Program
- Up to $3k in Tuition Reimbursement Each Year
Job Code: Billing
Reports To: Director of Billing and Access
Status: Non-Exempt
FT, PT, PRN: PRN
Shift: refer to offer letter
Location: Flat Rock OR Remote
Position Summary
The Coding Specialist is responsible for the correct application of ICD-10-CM, HCPCS, and CPT codes to facilitate reimbursement and reporting requirements. The Coding Specialist will be a team player that can collaborate with multiple departments regarding the status of coding. The Coding Specialist will identify opportunities for improvement and work with appropriate staff to ensure that documentation is compliant with coding guidelines. The Coding Specialist will identify trends in data and communicate potential training needs to professional development staff and leadership , Assignment of diagnostic and/or procedure codes will require supporting medical and clinical documentation found within the patient’s record or referred documents. Documents used in the review may include, but are not limited to the comprehensive assessment, physician narratives, medication profile, and referral source data.
Essential Duties & Responsibilities
- Enter and reconcile all Medicationsrequiredfor Medicare claim reporting
- Work to achieve performance goals, pursue progress toward individual development plan (IDP)anddemonstrateFour Seasons values and competencies
- Ability to perform detailed worked with accuracy, develop rapport with others, function as a team member, work independently with a minimum of supervision, anddemonstrateexcellent interpersonal and organizational skills
- Identify, compile, abstract and code patient data, using standard classification systems
- Resolve/clarify codes and diagnoses with conflicting, missing, or unclear information by consulting withphysicians, billing, palliative, and clinical informaticsto getadditionalinformation
- Plan, develop,maintainand operate a variety of health record indexes and storage and retrieval systems to collect, classify,storeand analyze information
- Identifiesopportunities for improvement when reviewing clinical documentation, for prospective,retrospectiveand concurrent reviews
- Notes and records deficiencies/errors and coordinates with professional staff as needed on a case by case basis to ensure that necessary documentation is corrected and/or provided.
- Compile andmaintainpatients' medical records to document condition and treatment and to provide data forthird party payers, research, or other improvement efforts
- Entersdata, such as demographic characteristics, history and extent of disease, diagnosticproceduresand treatment EMR
- Identifiesand communicates trends and staff training needs to the Professional Development staff
- Releasesinformation to persons and agencies according to regulations
- Protect the security of medical records to ensure that confidentiality is maintained
- Knowledge of HIPAA privacy policies, informed consent, and other regulations
- Knowledge of regulations governing professional area
- Excellent written,oraland collaborative communication skills
- Excellent interpersonal skills
- Excellent attention to detail and accuracy
- Proficient in MS Office: Outlook, Excel & Word
- Ability to work independently with minimum supervision
- Ability to work under pressure to meet deadlines
- Ability to take initiative andutilizeinnovative techniques
- Ability to interact with various departmentsthroughout the organization
- Ability toparticipateas a team player
- Ability to plan, prioritize and coordinate daily tasks
- Ability to bend, stoop, lift up to 35 pounds, and sit forlong periodsof time
Minimum Qualifications:
- Associate degree in healthcare, business, or a related field or equivalent experience
- RN
- 2-3 years ofwork experience in theadministrative, business or healthcare field
- Certified Coderin ICD-9 and ICD-10(in process is acceptable)
- Valid driver’s license and proof of automobile insurance
- Walking, sitting, reaching, bending flexion/extension of arms/wrist
- Carrying, hand dexterity to include gripping/grasping
- Requires frequent writing
All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the duties of the position. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Additional functions and requirements may be assigned as deemed appropriate.
In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals.
Salary : $600