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Job Description
- Req#: 101778
Employer Industry: Healthcare
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work in an award-winning, state-of-the-art healthcare facility
- Engage in continuous quality improvement initiatives
- Contribute to the accuracy and compliance of coding and billing processes
- Collaborative work environment with a focus on education and training
What to Expect (Job Responsibilities):
- Evaluate and resolve denied claims within the Coding department
- Review medical records and coding information to determine necessary changes or appeals
- Utilize denial reports to assess root causes and identify trends in coding denials
- Provide training and education to coding staff regarding payer rejections
- Serve as a subject matter expert in developing workflows within the Audit Manager software tool
What is Required (Qualifications):
- RHIT/RHIA/CCS/CPC certification with 5 years of experience in coding for an acute care hospital
- Experience in Continuous Quality Improvement (CQI) tools and techniques
- Strong knowledge of coding and billing regulations for all payers
- Ability to maintain current knowledge of regulatory updates and local payer policies
- Proven track record of monitoring and tracking denial trends
How to Stand Out (Preferred Qualifications):
- Master's Degree
- 5-10 years of experience in acute care coding
- Clinical Document Specialist certification or clinical validation of coding experience
- I-10 certification
#Healthcare #Coding #CareerOpportunity #QualityImprovement #TrainingProvided
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