Job Description - Candidates for this remote position must reside in CT, NY or NJ to be considered.
Stamford Health is a well-established, award-winning Healthcare System with multiple locations in CT.As a New Certified Great Place To Work Organization, Stamford Health Understands What It Takes To Attract Talent In Order To Improve Our Workforce And Support Our Mission, To That End We Offer - Competitive salary
- Sign on bonuses for designated positions
- Comprehensive, low-cost health insurance plans available day one
- Wellness programs
- Paid Time Off accruals
- Tax deferred annuity and (403b) pension plan
- Tuition reimbursement
- Free on-site parking and train station shuttle
- Childcare partnership with Children’s Learning Center
This position reviews and codes surgical operative reports for multiple surgical practices, resolves complex coding scenarios, provides feedback and documentation advice to the practices and assists with the resolution of coding related denials. This position also provides coding support to primary care and medical specialties. This position maintains system of monitoring compliance efforts; maintains and communicates knowledge of current coding protocols and revisions.Responsibilities - Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-9 coding to these services.
- Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for physicians' services.
- Assists Reimbursement Specialists and third party billing vendor staff to research claim denials and develop appeals by providing correct coding logic, references, as well as the assembly and review of appropriate provider documentation for accuracy and completeness.
- Provides coding expertise and training for providers and support staff.
- Works collaboratively with Director and reimbursement staff to research third party payer medical and administrative policy that may affect the practice’s clinical and billing operations. Assists Director to communicate changes to physicians, clinicians, office managers and third party billing staff. Assists in the development of procedure manuals related to coding and billing compliance.
- Works collaboratively with contracted external auditors to develop coding audit methodology and performs coding audits to identify coding improvement opportunities.
- Participates in development and education related to the implementation of ICD10 code set.
- Assists in continuous documentation improvement review and education to optimize coding and charge capture and prepare providers for increased documentation specificity for ICD10.
- Works with eCW support team to leverage system to facilitate accurate, compliant charge capture.
- Utilizes the electronic health record, health information systems, and healthcare applications and has a good working knowledge of information technology.
- Assists with the assembly and review of records required for a variety of internal and external audits as needed
- Assists Director and Reimbursement Specialist to develop, implement, maintain and monitor policies and procedures related to correct coding and compliant documentation.
Qualifications - CPC (AAPC Certified Professional Coder) certification preferred; demonstrated coding and billing knowledge/experience considered.
- 3-5 years surgical coding experience in outpatient setting; orthopedic/pain management, oncologic and neurosurgery a plus.
- Extensive knowledge of anatomy and medical terminology and ability to research coding related questions.
- Demonstrated effectiveness with face-to-face provider education.
- High level of competency with computers, the Internet, and computer software such as MS Office or equivalent is required.
- Working knowledge of regulatory requirements pertaining to health care operations and their impact on practice operations.
- Ability to work, plan, research and conduct projects with minimal supervision.
- Ability to organize and prioritize workload to manage multiple tasks and meet deadlines.
- Ability to maintain and increase knowledge of professional issues that affect the coding and billing industry and healthcare.
- Superior verbal, written, organizational, and interpersonal skills are required.
- The ability to work with individuals at all organizational levels, particularly peers, team members, other departments, patients, and the community is required.
