Coding Reviewer:
PeaceHealth

155420-en_US
PeaceHealth
Springfield Pennsylvania
Healthcare
Description

PeaceHealth is seeking a Coding Reviewer for a 1.0 full time equivalent Non-Exempt position. This position will be working Day shift with shift durations of 8 Hours.

Req ID: 155420

 

JOB SUMMARY

Acts as an expert resource for auditing and training in support of accuracy and appropriateness of coding using ICD-10 and CPT industry and PeaceHealth standards.

 

ESSENTIAL FUNCTIONS

  1. Performs chart/ coding audits as required by Coding System regulatory policies and procedures and according to established internal coding audit plan.  Participates in development of action plans to include follow up education on identified issues with subsequent audit and reassessment.
  2. Develops training materials and curriculum for Coding, Physician, external vendor and CDI caregivers. 
  3. Serves as an expert resource for ICD-10/CPT as it affects coding, billing, compliance and charge capture and reimbursement.  Assists with re-training efforts as a result of coding errors found.  Delivers training and standards as directed.
  4. May reviews RAC and other regulatory denials and provides feedback, preliminary audit findings and appeal strategies to the Regulatory Audit and Training Manager and the System Coding Leadership team.
  5. May work in tandem with HIM & PHMG Coding Review team to identify aberrant coding patterns and trends.
  6. Provides coding support to PeaceHealth entities as required.
  7. Performs other duties as assigned.

 

QUALIFICATIONS

EDUCATION:

  • Graduate of formal coding program or combination of education and experience that provides the caregiver with the requisite knowledge, skills and abilities to perform the job required.

 

EXPERIENCE/TRAINING:              

  • Minimum of three years acute or professional coding and/or auditing experience required.
  • Knowledge including, as appropriate, ICD-10, DRG methodology and HCPCS/CPT coding, regulatory Medicare, Medicaid and third party regulations.  ICD-10 certification/knowledge preferred.

 

LICENSE/CERTIFICATION:

  • CCS (Certified Coding Specialist) or Certified Professional Coder (CPC) or other HIM recognized, related credential required.

 

OTHER SKILLS:

  • Excellent verbal and written communication skills including sensitivity to other cultures and ethnicities.
  • Strong analytical skills.
  • Previous training experience and curriculum design a plus.
  • Must possess excellent ability for conceptual thinking, good listening, problem resolution and planning skills.
  • Must possess excellent organizational skills.
  • Must demonstrate computer skills in Outlook and Microsoft Office, and other graphic design tools. Knowledge of PeaceHealth EHR and SM/3M software preferred.
  • Ability to work with basic office equipment.
  • Ability to work well independently and in a remote environment.

 

REGIONAL/LOCATION SPECIFIC NOTES

  • Travel may be required.

 

Please apply online to be considered. For full consideration of your skills and abilities, please attach a current resume with your application.

 

About PeaceHealth

 

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 Springfield community please visit our homepage: www.peacehealth.org/careers.

 

Get a feeling for the Spirit of PeaceHealth through this three-minute video, and visit us on Facebook or LinkedIn!

 

Questions? Review our Employment FAQ or email Recruitment@peacehealth.org. Please note this email does not accept resumes or applications.

 

Location: Springfield, SHMC at Riverbend (420)
Job Category:  Business, Administrative & Facilities 
Shift:  Day
Shift Length: 8 Hours
FTE: 1.0
Work Type:  Full Time
Hourly compensation starts at: $26.71, more depending on experience
Required Certifications/Licensure: 

 

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: Springfield || Business, Administrative & Facilities || Billing/Coding || Full Time || PHMG ADMIN

Basic Qualifications
Requirement