Mgr Hospital Coding Assurance in Marietta, GA
Mgr Hospital Coding Assurance - Wellstar Health System - Marietta, GA - work from home job
Company: Wellstar Health System
Job description: Overview
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
“Remote work available depending on location"
Responsibilities
Under the direction of the Director of Coding Assurance - Compliance, the Manager of Hospital Coding Assurance is responsible for executing the Wellstar Health System Compliance Plan within the Coding Assurance Compliance Team. This person will lead WellStar’s Inpatient and Outpatient Coding auditors in proactively identifying risk and addressing compliance issues as they pertain to coding/billing within the Wellstar Inpatient / Outpatient hospital populations. This department conducts regular audits and monitors activities to promote compliance with federal regulations related to the Federal Healthcare Programs (i.e. Medicare and Medicaid and others). This team provides compliance education with an emphasis on coding and billing regulations for Hospital services in Wellstar facilities. This person will coordinate the above audits/education, research and respond to compliance and other coding / billing related questions and prepare communication/responses both in verbal and in written formats. This person will be responsible for coordinating internal reviews, compliance training as well as targeted educational programs throughout each year. This team will look for trends in coding and billing patterns and provide comparative benchmarking to ensure optimal reimbursement while remaining in compliance with published guidelines and regulations. This person must be able to work independently, motivate a strong team, and must have professional communication skills both verbally and in writing.
Qualifications
Required Minimum Education:
Bachelors degree in Health Information Management, Business, or other health care or
business-related field preferred.
Required Minimum Certification:
At least one of the following: Registered Health Information Administrator (RHIA),
Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), or Cerified Professional Coder-Hospital (CPC-H).
Required Minimum Experience: Five years of inpatient auditing, and/or other related coding/billing/compliance related
experience. Outpatient coding experience desirable.
Required Minimum Skills:
Extensive knowledge of medical terminology, CPT-4 procedural coding (including Level II HCPCS), ICD-9-CM coding, ICD-10-CM, ICD-10-PCS and all coding and billing guidelines.
Hospital billing experience with focus on government payors.
Extensive experience with medical record chart review and/or extraction for hospital billing.
Extensive experience with Medicare, Medicaid, and reimbursement rules and regulations.
Experience with management information systems and medical software.
Competent in Microsoft Word and Excel software in a Windows environment (Experience with Microsoft Access Is a plus)
Expected salary:
Location: Marietta, GA
Job date: Sat, 02 Sep 2023 00:26:09 GMT
Apply for the job now!
Apply Now
Apply Now
Company: Wellstar Health System
Job description: Overview
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
“Remote work available depending on location"
Responsibilities
Under the direction of the Director of Coding Assurance - Compliance, the Manager of Hospital Coding Assurance is responsible for executing the Wellstar Health System Compliance Plan within the Coding Assurance Compliance Team. This person will lead WellStar’s Inpatient and Outpatient Coding auditors in proactively identifying risk and addressing compliance issues as they pertain to coding/billing within the Wellstar Inpatient / Outpatient hospital populations. This department conducts regular audits and monitors activities to promote compliance with federal regulations related to the Federal Healthcare Programs (i.e. Medicare and Medicaid and others). This team provides compliance education with an emphasis on coding and billing regulations for Hospital services in Wellstar facilities. This person will coordinate the above audits/education, research and respond to compliance and other coding / billing related questions and prepare communication/responses both in verbal and in written formats. This person will be responsible for coordinating internal reviews, compliance training as well as targeted educational programs throughout each year. This team will look for trends in coding and billing patterns and provide comparative benchmarking to ensure optimal reimbursement while remaining in compliance with published guidelines and regulations. This person must be able to work independently, motivate a strong team, and must have professional communication skills both verbally and in writing.
Qualifications
Required Minimum Education:
Bachelors degree in Health Information Management, Business, or other health care or
business-related field preferred.
Required Minimum Certification:
At least one of the following: Registered Health Information Administrator (RHIA),
Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), or Cerified Professional Coder-Hospital (CPC-H).
Required Minimum Experience: Five years of inpatient auditing, and/or other related coding/billing/compliance related
experience. Outpatient coding experience desirable.
Required Minimum Skills:
Extensive knowledge of medical terminology, CPT-4 procedural coding (including Level II HCPCS), ICD-9-CM coding, ICD-10-CM, ICD-10-PCS and all coding and billing guidelines.
Hospital billing experience with focus on government payors.
Extensive experience with medical record chart review and/or extraction for hospital billing.
Extensive experience with Medicare, Medicaid, and reimbursement rules and regulations.
Experience with management information systems and medical software.
Competent in Microsoft Word and Excel software in a Windows environment (Experience with Microsoft Access Is a plus)
Expected salary:
Location: Marietta, GA
Job date: Sat, 02 Sep 2023 00:26:09 GMT
Apply for the job now!
Apply Now
Apply Now