Senior Professional Services Coder

Position Purpose

This position is accountable for the initial and ongoing success of workflows for all Professional Services Coders. This position will provide support and needed assistance for department members to ensure professional coding is accurately done within quality metrics and appropriate timelines. This position is responsible for keeping abreast of current continual changes in coding and billing guidelines and compliance related to reimbursement within Federal and State regulations for billing and reimbursement.

Nature and Scope

The major challenge of this position is ensuring the accountable work for our internal department is completed within designated timelines. This position is challenged to keep workflows running smoothly for the department, including charge related items in work queues to ensure accurate and timely billing.

This position provides daily ongoing support for Coding apprentices. This position is accountable to ensure quality documentation, professional coding and billing timelines are met.

Oversee workflows of charge capture through the EMR system work queues for accurate and complete submission of billing.

The incumbent must be able to answer daily coding questions, assist with training new staff members, identify and resolve problems, set goals and priorities under the guidance of department leadership, and represent the department in a professional manner as well as in the absence of leadership, as assigned.

High standards of performance, courteousness, diplomacy, and respect for confidentiality are essential. This position is in contact with all multiple Departments, including but to limited to; Renown Health Providers and support staff.

This person will participate in staff meetings and training of new coding staff.

KNOWLEDGE, SKILLS & ABILITIES

· Advanced knowledge of ICD-10-CM, HCC/Risk adjustment concepts, CPT, HCPCS and Evaluation and

Management coding (2021 E/M Outpatient and ‘95/’97 E/M guidelines).

· Conversion of written documentation to proper ICD-10-CM and CPT codes.

· Advanced in EMR work flows.

· Comprehension of anatomy, physiology and disease processes.

· Demonstrated experience with provider evaluation and management auditing, for ICD-10-CM/alpha-numeric medical codes and HCPCS.

· Effective prioritization, organization and communication skills.

· Knowledge and experience of Excel spreadsheets.

This position does not provide patient care.

Disclaimer

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications
Requirements - Required and/or Preferred

Name

Description

Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English. Associates Degree is preferred.

Experience:

Ten (10) years previous pro-fee outpatient or inpatient coding experience is required. Experience in medical billing, and Professional Billing EMR workflows is preferred.

License(s):

None

Certification(s):

AAPC, AHIMA or Certified Coding credential (excludes apprenticeship classification)

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

PI215879771