AUDIT INTEGRITY - MEDICAL CODING AUDITORMountain View Hospital • Idaho Falls, Idaho, United States
AUDIT INTEGRITY - MEDICAL CODING AUDITOR
Mountain View Hospital
- Idaho Falls, Idaho, United States
- Idaho Falls, Idaho, United States
Über
Medical, Dental and Vision Insurance Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off Retirement Plans (401K with up to 6% match) Earned Quarterly Bonus Program Education Reimbursement Program Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital
Please note benefits are based on eligibility according to full-time, part-time or PRN status classification. DUTIES AND RESPONSIBILITIES: 1. Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT, ICD-10 and HCPCS coding to these services. 2. Contacts physicians through management regarding procedures and other services billed to ensure proper coding. 3. Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is capture for all patients. 4. Monitors and follow up to ensure all services that can billed are captured and coded for billing and no charges are incorrectly charged. 5. Reviews all physician documentation to ensure compliance with the third party and regulatory guidelines. 6. Works in conjunction with the reimbursement staff to answer all inquiries regarding coding and billing for services. 7. Works in coordination with the other members of the business office as necessary. 8. Meets and exceeds the short and long term goals as established for the department. 9. Performs duties and job functions in accordance with the policies and procedures established for the department. 10. Reports to work, meetings and professional obligations on time. 11. Participates in administrative staff meetings and attends other meetings and seminars. 12. Assists in evaluation of reports, decisions and results of department in relation to established goals. 13. Recommends new approaches, policies and procedures to influence continuous improvement in the departments efficiency and services provided. 14. Takes ownership of special projects, researches data and follows through with detail action plans. 15. Actively participates in problem identification and resolution and coordinates resolution between the appropriate parties. 16. Performs other related duties as required and assigned. 17. Uses outcomes management computerized information systems to statistically analyze outcomes data including practice patterns. 18. Compiles data into reports for the manager or committee including and analysis of trends and patterns. 19. Fulfills internal and external requests for outcome data, including developing special reports. 20. Participates in presentations to educate staff on outcomes and plans of correction. 21. Collaborates with the clinical team to use outcomes data in education. 22. Helps train clinicians or other staff on new protocols. About Mountain View: Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice. Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply. Qualifications: Education/Certification: High School Diploma or GED, Certified Professional Coding Certificate or Certified Professional Auditing Certificate Equipment/Technology: Minimum of 3 years of coding experience. Working knowledge of CPT, ICD-10-CM, ICD-10-PCS, HCPCS. Mental Capabilities: Can concentrate for long periods of time in order to complete assigned tasks with a better than average attention span in order to listen, read and remember verbal and written instructions. Can understand input from the supervisor and/or manager concerning errors and instructions. Performance: Must be able to handle conflict issues with both staff and providers. Hold oneself to high standards and professionalism while performing audits and providing education.
Sprachkenntnisse
- English
Hinweis für Nutzer
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