PeaceHealth is seeking a Provider Coding Specialist II (Per-Diem) for a 0.000001 full time equivalent Non-Exempt position. This position will be working Day shift with shift durations of Variable .
Req ID: 160137
This position is responsible for ensuring accurate and consistent procedural/diagnostic coding and documentation, providing specialty procedural review/auditing services, and proactively coding regulatory information and education.
Researches and provides education to providers, clinic management and staff regarding specialty procedural coding and coding and 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.
Ensure that all services and charges have been accurately submitted for assigned providers/department. Understand process for processing charges for PBE, Method 2, or standard charge processing. Code all services timely and appropriately. Process all work in work files, issue trackers, and fee tickets according to departmental guidelines and targets.
Maintain a weekly presence within clinical areas assigned to. Responsible to work with clinical managers and staff to create and maintain appropriate charge capture and coding workflows. Meet with provider staff regularly to discuss any issues related to charge capture and coding process. To include filling out of forms, accurate and timely documentation, changes in coding or payer guidelines that impact coding and/or payment.
Provide quarterly physician documentation education to assigned providers. Develop presentation to include coding statistics, review of at least 10 services, and discussion of any areas that need changes in either coding or documentation. Assist providers with understanding coding and documentation requirements, providing any and all tools to assist with accurate documentation. Determine any follow up actions from the quarterly meeting. Appropriate follow up consists of, but is not limited to, shadowing in all clinical environments, review of services on a weekly basis, 100% review of specific procedures, and meetings with all providers to discuss coding rules.
Conduct reviews of provider documentation and peer coding accuracy reviews. Provider reviews will be documented within MD Audit. One of the quarterly reviews each year will be a scored review housed within MD Audit that will satisfy our internal quality control. Conduct and document peer-coder reviewers on a semi-annual basis. Re-reviews of coders and providers will be consistent with PeaceHealth policy
Collaborates with Provider Review/Education Specialists in development and presentation of provider education materials in individual and group settings.
May process billing system claim edits during periods of large workflow volumes.
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. Instructs coding staff as to completion of updates.
Meets with lead providers/clinical administration to facilitate annual revisions of encounter forms and to distribute code update information.
Review provider coding practices and provide recommendations and feedback.
Performs other duties as assigned.
High school diploma or equivalent preferred. Knowledge of anatomy, physiology, medical terminology, diseases, procedures and therapies.
Minimum of three years' experience in physician professional services coding in a medical care facility, billing office or medical records department.
CPC (Certified Professional Coder); Certified Outpatient Coder (COC) or CCS-P (Certified Coding Specialist – Physician Based) required.
RHIT or RHIA preferred.
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 required.
Public speaking/presentation skills
Familiarity with medical billing software and electronic medical record preferred.
SYSTEM SERVICES– PHYSICAL/COGNITIVE REQUIREMENTS:
Work requires normal amounts of physical effort from 34 to 65% of the time.
Ability to lift objects weighing 30 lbs. or less.
Work is performed under normal working conditions with adequate lighting and ventilation.
Extended periods of sitting while reviewing records and entering clinical data into a computer monitor where noise level is moderate.
Duties require the ability to concentrate or pay close attention to detail (more than 65% of work time).
Please apply online to be considered. For full consideration of your skills and abilities, please attach a current resume with your application.
PeaceHealth, based in Vancouver, Wash., is a not-for-profit Catholic health system offering care to communities in Washington, Oregon, and Alaska. PeaceHealth has approximately 16,000 caregivers, a multi-specialty medical group practice with more than 900 providers and 10 medical centers serving both urban and rural communities throughout the Northwest. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, PeaceHealth is the legacy of its founding Sisters and continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission.
We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment! To learn more about working at PeaceHealth and the Vancouver community please visit our homepage: www.peacehealth.org/careers .
Location: Vancouver , Shared Services Center (802) Job Category: Business, Administrative & Facilities Shift: Day Shift Length: Variable FTE: 0.000001 Work Type: Per Diem/Relief Hourly compensation starts at: $ 24.28 , more depending on experience Required Certifications/Licensure: Certified Professional Coder
PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran; qualified individual with a disability; race; ethnicity; religion; gender; pregnancy; gender identity; national origin; age; genetic information; sexual orientation; or any other protected status in accordance with local, state, or federal laws.
The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.
Posting Notes: Vancouver || Business, Administrative & Facilities || Billing/Coding || Per Diem/Relief || PHMG ADMIN
Internal Number: 160137
PeaceHealth Physicians are as diverse as the communities they serve, but have the following in common:Dedication to carrying on the healing mission of Jesus Christ by promoting personal and community health, relieving pain and suffering and treating each person in a loving and caring way.A shared vision of every patient receiving exceptional, compassionate evidence-based care, every time, every touch.