What are the responsibilities and job description for the Coding Specialist - Full Time - Remote - Michigan Resident Only position at SHERIDAN COMMUNITY HOSPITAL?
Job Details
Job Location: Sheridan, MI
Salary Range: Undisclosed
Description
Job Description
Position: Coding Specialist
Reports To: Revenue Cycle Manager
Schedule: Full Time, Monday – Friday 8am – 430 pm EST (Flexible)
Location: Remote/Hybrid, Michigan residents only
Job Summary: Applying CPT/ICD-10/HCPCS to services and rebilling rejected claims for services performed in a Rural Health Clinic Primary Care and Critical Access Hospital
Essential Duties and Responsibilities:
- Review documentation to apply CPT, HCPCS, and ICD-10 codes
- Evaluation & Management visits
- Rural Health Clinic Primary Care
- Quality program billing guidelines and requirements
- Specialty department services
- Emergency Department
- Walk-In Clinic
- Inpatient services
- Outpatient surgery
- Observation
- Wound care
- Swing bed
- Outpatient diagnostics (lab & radiology)
- Communicate with physicians/providers/medical staff to obtain or clarify diagnosis and/or procedures via the query process
- Assign and confirm accurate coding utilizing an electronic encoder application in accordance with practice policy and regulatory guidelines
- Create and distribute Coding Report which identifies services performed, confirm all required documentation is complete, send queries to any provider/staff needing to resolve/finalize missing information, then Code services that are ready to be coded and billed for assigned department/services
- Participate in quality improvement projects
- Attend training and meetings as required
- Maintains awareness of current quality and safety measures and follows guidelines or reporting measures to ensure safety of patients, visitors, and staff
- Communicate areas and opportunities that could hold up coding/billing and clinical decisions for process improvement possibilities to Coding Coordinator
- Keeps abreast of ICD/CPT/payor coding changes/updates/reimbursement methodologies affecting correct coding and billing guidelines/regulations.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals, which contribute to the success of the organization; serves as resource to less experienced staff.
- Perform other related duties as required
Qualifications
Education, Experience and Other Requirements:
- Active Certified Coding credential in at least one of the following required, with a minimum of 3 years experience:
- Certified Professional Coder – CPC
- Certified Outpatient Coder – COC
- Certified Inpatient Coder – CIC
- Certified Coding Specialist – CCS
- Certified Professional Coder-Hospital – CPC-H
- Certified Coding Associate – CCA
- Extensive and up to date knowledge of coding principles and guidelines including CPT, HCPCS, ICD-10, Rural Health Care, Critical Access Hospital, multi-specialty coding, Quality program coding
- Attention to detail and ability to organize and complete work in timely manner
- Comprehensive computer skills including experience with Microsoft Office products
- Ability to work independently, takes initiative, and work collaboratively with others
- Knowledge and skills in Quality Improvement methodologies.
- Strong communication, organizational and time management skills.
- Must be self-motivated and require minimal supervision with the ability to establish own priorities to complete tasks according to turnaround time expectations
- Must have the ability to interact professionally with providers, management, peers, and staff.
