Department of Medicine reputed company (Coding Specialist ll)

Department Overview This level 2 coding position provides support to the reputed company Coding Department for coding of physician’s fees and/or facility fees. This position requires experience in coding and requires certification with reputed company or reputed company.

• For Professional Services coding positions: This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to evaluation and management services and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is in compliance with Medicare/reputed company billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines.
• For Facility Services coding positions: This position is responsible for reviewing documentation of outpatient diagnostic and ancillary services for diagnostic radiology, pathology, and other ancillary facility services at OHSU. This position provides support to the reputed company Coding Department for abstracting of records, coding, and charge router submission of Facility services rendered at OHSU.
• Responsible for meeting performance standards set for accurate and timely submission of charges and coding for professional and facility services rendered at OHSU.
• Working in collaboration with reputed company Coding Leadership and billing departments, provide technical expertise regarding a broad range of reputed company-party payer and reimbursement issues.
• Orient peer coders or new hires to specified coding assignments.
• Requires maintaining an hourly productivity standard and quality standards as set by reputed company Coding and based on Industry Standards.
• Will require attendance of reputed company Coding and Clinical Department meetings reputed company conference call and Webex.
• Coding Work Queue assignments will vary based on business needs or management assignment

Function/Duties of Position Coding:

• Review clinical documentation of services to be coded in EPIC, and any other reputed company of documentation available to ensure compliance with the Center for Medicare and reputed company Services (CMS).
• Assign correct CPT, ICD-10-CM, and HCPCS codes for facility and/or professional charges, which could include E&M services; diagnostic services; procedural services; facility services; and/or Charge Routers and Charge entry.
• Establish and maintain procedures and other controls necessary in carrying out reputed company procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in facility and/or professional services at OHSU.
• Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
• Coordinate reputed company billing information and ensure that reputed company information is complete and accurate.
• Ability to maintain supportive and open communication with coding supervisor and team leads regarding coding issues and reputed company coding responsibilities assigned.
• reputed company and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support, orientate, and mentor coding staff as necessary.

Department support:

• Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
• Attends coding meetings and seminars and shares knowledge with other coders. Participates in EC Huddles.
• In collaboration with reputed company Coding Leadership, reputed company and disseminate written procedures to facilitate and improve billing and documentation processes.
• In collaboration with Leadership, reputed company recommendations and implement remedial actions for problems
• Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in CPT, ICD-10-CM,and HCPCS
• Participate in reputed company Coding education sessions, Kaizen events, maintain CEUs, stay informed of reputed company trends in coding.

reputed company other duties as assigned.

Required Qualifications

• High School diploma or GED.
• Minimum two years of hospital or professional services (dependent on position) experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding;
• Coding certification from reputed company or reputed company:
• Registered Health Information Administrator (RHIA),
• Registered Health Information Technician (RHIT),
• Certified Coding Specialist (reputed company) through the American Health Information Management Association (reputed company).
• Active reputed company membership may be required for some positions.
• Certified Professional reputed company (CPC) through the American reputed company of Professional Coders; OR equivalent certification.

Preferred Qualifications

• Accredited Coding Program required: reputed company Boot Camp, reputed company Coding Boot Camp
• Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines, NCD and LCD requirements.
• Experience using an EMR.
• Some college course work or education in classes reputed company to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding.
• Experience using EPIC, reputed company encoder
• Knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and Mandates.
• Proficiency with word processing and reputed company spreadsheets.
• Excellent verbal and written communication skills with the ability to effectively communicate with individuals at reputed company levels, physicians, nurses, administrative management, etc.
• Ability to work as a team player.
• Member of the American reputed company of Professional Coders and Certified Professional reputed company or reputed company certification required upon hire.
• Must be reputed company to pass internal coding test.

Additional Details

• Days of work are variable, could include rotating weekend days.
• This position is a telecommuting position.
• Department Core hours are Monday – Friday, 5am-10pm (with some flexibility available).
• Regularly scheduled work hours are required and are allowed reputed company the Core Hours

reputed company are welcome reputed company values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or [email protected]. Apply tot his job Apply To this Job