Temp Administrative Certified Coder (Varied) Dallas TX

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profile Job Location:

Dallas, IA - USA

profile Monthly Salary: Not Disclosed
Posted on: 30+ days ago
Vacancies: 1 Vacancy

Job Summary

Fully remote position! Applicant must have the necessary equipment for the contract; 2 monitors keyboard mouse web camera. If not Agency must supply ahead of start date.

The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding abstracting and billing on emergency department (ED) same day surgery (SDS) outpatient clinic (OPC) observation (OBS) specialty clinics and/or inpatient OB/newborn encounters. This role is also responsible for charge review on clinic and hospital visits to ensure accurate professional charging and billing. This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM PCS CPT HCPCS HCC HEDIS CAT II E/M and modifier codes. Demonstrates the ability to provide direction to coding staff as it relates to coding integrity established coding guidelines and Parkland s policies to ensure accuracy of recorded patient medical information and appropriate reimbursement for services rendered.
  • If a candidate has Risk Adjustment coding experience they must also have Evaluation and Management (E/M) coding experience in addition to Risk Adjustment

RESPONSIBILITIES

  • Code abstract and conduct charge quality review on all episodes of care on emergency department (ED) same day surgery (SDS) outpatient clinic (OPC) observation (OBS) and/or inpatient OB/newborn hospital and specialty clinic encounters according to coding conventions guidelines & hospital policy analyzing questionable documentation to ensure to the accuracy of information & resolves identified issues.
  • Assigns appropriate diagnosis and procedures codes utilizing ICD 10-CM/PCS CPT HCPCS HCC and HEDIS CAT II E/M codes according to the Centers for Medicare & Medicaid Services (CMS) requirements for both professional and hospital billing. May assist in training and reviewing the work of other coders for accuracy and efficiency.
  • Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.
  • May verify edit and/or enter charges based on documentation or payer/billing requirements reporting any discrepancies in a timely manner.
  • Updates as appropriate patient database with classification codes and resolves conflicts or inconsistencies to provide sufficient patient health information according to Parkland s standards.
  • Stays abreast of the latest developments advancements and trends in the field of health information management by attending workshops reading professional journals actively participating in professional organizations and integrates knowledge gained into current work practices.
  • Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor implements and monitors results as appropriate in support of the overall goals of the department and Parkland.
  • Facilitate a positive working relationship with physicians nurses medical staff and hospital employees to ensure that all work-related encounters are productive.
  • Maintains knowledge of applicable rules regulations policies laws and guidelines that impact the Coding area. Develops effective internal controls designed to promote adherence with applicable laws accreditation agency requirements and federal state and private health plans. Seeks advice and guidance as needed to ensure proper understanding.
  • Maintains CE hours and renew annual coding credentials.
  • This position is 100% Virtual. Virtual employees must also comply with all Parkland policies and procedures governing the use of Parkland information resources. Virtual employees must maintain all equipment lent by Parkland to perform the agreed upon job duties in good working conditions. All employment responsibilities and conditions in applicable Parkland policies and procedures apply to employees while working virtually.

Requirement description :
  • AAPC certificate required; MUST be CPC CPC-H and/or COC - REQUIRED
  • Must have graduated from an approved coding program or health information management program - REQUIRED
  • Proficiency in AT LEAST 3 of the following: Specialty Clinics (Med Spec Inject Anticoag Management Nutrition/Oncology Nutrition Newborn/Lactation OP Orthotic Prosth Urology Apheresis Cardiac Rehab General Surgery Int Pain Healing Non Inv Cardiology Outpatient General Surgery Proctology Plastic Surgery Endocrine Benign Gyn Infectious Disease Neurosurgery Oral & Facial Surgery Ortho Total Joint RAD CT RAD MRI RAD MRI Trauma Amputation Clinic Burn Clinic Dermatology Endocrine Surgery ENT Clinic GI and Liver Disease Gyn Dysplasia Internal Medicine Mineral Metabolism Ortho Foot & Ankle Pain Burn Outpatient Hand Surgery Cardiology Comprehensive Wound Neurology Pulmonology Clinic Rheumatology Eye Clinic Access Clinic) - REQUIRED
  • Knowledgeable in ICD-9/ICD-10-CM/PCS CPT-4/HCPCS HCC and HEDIS CAT II Risk Adjustment - REQUIRED
  • Must be able to handle HIGH Volume of cases - REQUIRED
  • Evaluation Management experience - REQUIRED
  • Ability to assign CPT codes - REQUIRED
  • Knowledge & proficiency of EPIC EHR and 3M 360 coding is encouraged - Preferred
  • Hospital experience strongly desired due to case types - Preferred

PROFILE REQUIREMENTS
  • Resume/Work history
  • Skills Checklist
  • Copy of Certification(s)
  • At least 1 reference
  • MUST note on profile if Applicant has been a past traveler or FTE of Parkland Health
  • MUST include drivers license

ADDITIONAL LICENSE REQUIREMENTS :
Weekend Requirements : Weekend schedule to be determined by facility
On Call Requirements : No call
Fully remote position! Applicant must have the necessary equipment for the contract; 2 monitors keyboard mouse web camera. If not Agency must supply ahead of start date.The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding abstracting a...
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