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Location: Lubbock, TX, United States
Salary Range: 27.91 - 51.83
Work Type: Full-Time
Standard Hours: 40
FTE: Non-Exempt
Work Schedule: Day 8
Work Shift: Monday – Friday, 8:00am – 4:30pm:
Date Posted:
Nuvance Health extends from New York’s Hudson Valley to western Connecticut. Our team of more than 15,000 caregivers delivers compassionate care through seven community hospitals, primary care and specialty practice locations, outpatient settings, home care services and telehealth visits. With strong hearts and open minds, we’re pushing past boundaries and challenging the expected, all in the name of possibility. As we journey forward, we are guided by our values: personal, imaginative, agile and connected. Our curiosity is opening new pathways and creating new advancements in healthcare for all.
Description
Summary:
Appropriately analyzes and codes complex outpatient records. High-level expertise in coding and documentation guidelines, co-morbidity condition and major co-morbidity condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance.
Responsibilities:
• Performs ICD-10-CM diagnostic and current procedural terminology procedural coding to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95%. • Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. • Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/or coding references to select diagnosis and all significant procedures, indicating the patient’s acuity, severity of illness and risk of mortality (if applicable) and all charges as documented in the medical record. • Applies knowledge of ambulatory payment classification reimbursement for procedure coding, current procedural terminology guidelines, knowledge of local coverage determination's for medical necessity, and appropriate use of modifiers. • Effectively and professionally communicates with providers to clarify documentation in order to assign accurate diagnoses and procedures for ambulatory payment classification and for medical necessity. • Ability to code using either 3M encoder or ICD-9-CM/ICD-10-CM book. • Performs E/M (Evaluation Management) coding for physician and facility with a minimum accuracy of 95%. • Mentors and trains junior coders. • Performs audits as assigned by the coding manager. • Demonstrates advanced knowledge of the impact of coding decisions on revenue cycle, including ability to assist in appealing payer denials. • Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. • Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance. • Achieves the organization's established expectations with regard to customer service, teamwork and safety. • Responds to all questions regarding diagnoses and procedures with the billing office in a timely manner. • Fulfills all compliance responsibilities related to the position. • Performs other duties as assigned.
Other Information:
Essential: CPC, COC, CCS, or CCS-P certification Required: Specialized training in medical terminology, ICD-10-CM Diagnosis, CPT procedure and E/M coding. Able to decipher operative reports, medical orders, and various medical records in the appropriate selection of codes. Experience in acute care coding with outpatient records. Minimum Experience: Five years demonstrated coding experience in appropriate application of coding and documentation guidelines Desired: Course work in Anatomy and Physiology. Education HS Graduate or Equivalent
Working Conditions:
Manual: Some manual skills/motor coord & finger dexterity
Occupational: Little or no potential for occupational risk
Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force
Physical Environment: Generally pleasant working conditions
Company: Nuvance Health
Org Unit: 1913
Department: RemoteNot900
Exempt: No
Salary Range: $27.91 - $51.83 Hourly
Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.