Provider Coding Specialist – Remote

Job title:

Provider Coding Specialist – Remote

Company

PeaceHealth

Job description

Job Description:PeaceHealth is seeking a full time Provider Coding Specialist. This remote role requires the incumbent to reside in OR, WA, AK or TX.The salary range for this job opening at PeaceHealth is $22.70 – $34.04. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.Responsible for ensuring accurate and consistent procedural/diagnostic coding and documentation, timely and complete charge capture, and correction/resolution of insurance claim denials and patient disputes due to coding issues.What you will enjoy:

• Processes billing system claim edits and reviews CPT/ICD-10 coding and medical record documentation submitted by providers for accuracy prior to billing.
• Reviews claims denied due to coding issues and makes corrections/recommendations for corrections.
• Assists providers and PFS billing/reimbursement staff with coding questions.
• Researches coding/compliance issues utilizing regulatory and medical informational resources.
• Collaborates with other coding staff to identify trends and issues with provider coding practices and edits, reviews monthly edit and denial reports to make recommendations for provider and staff education.
• Assists in preparation and distribution of provider education materials and participates in provide/.staff individual group education presentations regarding coding issues.
• Participates in departmental and cross-regional meetings and projects involving coding/billing and helps develop forms/process for use in clinics.
• Maintains communication and relationships with PFS billing and reimbursement management and staff regarding issues affecting coding and charge capture.
• Performs other duties as assigned.

What you will bring:

• High School Diploma or equivalent.
• Minimum of 1 year Experience in physician professional coding in a medical care facility, billing office or medical records department preferred.
• Knowledge of anatomy, physiology, medical terminology, diseases, procedures and therapies.
• National Coding for Provider Coders, Certified Professional Coder, Certified Coding Specialist Physician, Registered Health Information Technician, Registered Health Information Administrator or Certified Outpatient Coder required within 1 year of hire.

Additional 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.
• 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.
• Good verbal and written communication skills.
• Critical thinking and problem solving skills.
• Familiarity with medical billing software and electronic medical record preferred.

Working Conditions:

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.
• Predominantly operates in an office environment.
• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

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 .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.

Expected salary

Location

Vancouver, WA

Job date

Thu, 16 Jan 2025 08:58:58 GMT

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