Downloaded and organized charts from hospital's website into Laserfiche before coding. Summarizes and reports findings to manager and uses findings in educational trainings, Understands post billing review findings and have the ability to assist in relaying any constructive education for the purpose of improving deficiencies identified in the review, Reviews and analyzes E/M coding and other billing trend profiles to identify patterns that may provide clues requiring focus for further analysis, support and/or education, Reviews encounter forms, coding forms, or billing tool information, at least annually, and recommend changes to codes and encounter form layout as necessary, Supports and participates in the continuous assessment and improvement of the quality of services provided, Acts as documentation and coding liaison to clinicians to include review, education and necessary follow-up to help ensure that clinical documentation and coding services meet government and organizational policies and procedures, Analyzes and provides education on revenue capture, clinical documentation including Electronic Health Record (EHR) requirements, coding accuracy and denial management to clinicians and clinic staff, Reviews documentation and coding for new providers for accuracy and charge capture as per standard, Responsible for sending coding reports to providers received from coding vendor resources, Communicates directly with providers on coding feedback and chart review findings, Reports areas of risk directly to the Manager – Physician Coding Education, Monitors Medicare and other Payer rules for updates and changes, Uses spreadsheets to log physician performance results and to re-educate on those outstanding issues and trends, Maintains familiarity with such issues as HCFA E/M Documentation Guidelines, HCFA Teaching Physician Documentation Guidelines and the OIG model compliance plans, Attends seminars and workshops, as applicable, for updates on new coding rules and regulations, Participates in decision making concerning departmental policies and procedures, Meets organizations objectives set by leadership, Understands coding trends by billing area, location, and provider for all groups and physicians, Handles in a professional and confidential manner all correspondence, documentation, and files, Supports CSMN’s core values, policies, and procedures, Follows policies and procedures pertinent to the coding and compliance departments, Responsible for the successful day to day management and system-wide coordination of the Coding Unit of the Health Information Department, Functions in accordance with CSHS and HID guidelines and budgets with oversight of the Director, As a member of the management team, works with supervisors and staff to develop each unit’s objectives to be consistent with the mission, plans and objectives of the Department and CSHS, Achieves goals related to total quality, productivity, team development, customer service and financial performance, Collaborates with coding and compliance staff in the performance of periodic physician medical record reviews, Reconciles medial record documentation, coding, claims and reimbursement data. It’s actually very simple. This section, however, is not just a list of your previous coding auditor responsibilities. Being web-savvy and all, you might have heard of resume bots — more technically known as … Your next step on your career path is to write a cover letter and resume. Trained Physicians and/or support staff on documentation, coding and billing issues, Completed data entry and compilation of statistical reports on Mysis program. Multi-Facility and Large Health care system experience required, Minimum 10 years management experience required, Minimum 10 years recent HIM acute care coding experience required, Demonstrated experience and a proven track record in Coding in a facility of significant size and complexity, hospital business operations, information systems, and coding applications, as typically acquired in 3-5 years of experience performing acute care inpatient, outpatient, and/or emergency department coding, In-depth knowledge of hospital inpatient, outpatient, and/or emergency department coding rules, Ambulatory Payment Classifications and Diagnosis Related Group assignment logic, National Correct Coding Initiative edits, Coding Clinic and Current Procedural Terminology Assistant coding guidelines, In-depth knowledge of medical terminology, disease processes, patient health record content and the medical record coding process, In-depth knowledge of computer based encoder systems and accurate data entry skills, Strong working knowledge of anatomy, physiology and pharmacology, Working knowledge of billing functions and the components of a charge description master, Knowledge of Revenue Cycle applications, including Electronic Health Record systems, In-depth knowledge/ awareness of all areas related to Coding and how they interrelate, Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections, Ability to mentor and support staff transitioning to higher skill levels, Ability to manage staff and resolve issues in a virtual environment, Ability to analyze, comprehend, and effectively interpret and translate new coding requirements, Ability to multitask and prioritize work activities, Demonstrated experience and a proven track record in coding, training, and/or service development in a facility of significant size and complexity, hospital business operations, information systems, and coding applications, as typically acquired in 3-5 years of experience, Demonstrated experience in the fundamentals of auditing and monitoring, Experience executing Coding Quality Assurance standards, processes, policies, procedures and service level agreements, Experience in complex regional/ shared service environment with multiple/ matrix reporting relationships preferred, Experience participating in planning new or expanded services and managing projects, In-depth knowledge of Diagnosis Related Groups, Ambulatory Payment Classifications, ICD-9-CDM, and Current Procedural Terminology Coding systems and related coding issues including charge capture and evaluation and management leveling, In-depth knowledge and understanding of coding compliance and quality assurance, Familiarity with medical terminology and the medical record coding process, General knowledge of how to conduct a quality control audit, Knowledge of Patient Management information system applications, preferably EPIC, Ability to quality check other’s work and compile audit reports based on findings, Ability to provide coaching and feedback to Coders if quality assurance results are subpar, Ability to train staff and resolve issues in a virtual environment, Ability to work closely with medical staff and other departments to create a complete and accurate database of clinical and demographic data while ensuring appropriate coding, Ability to run reports needed to improve patient care, Ability to comprehend and retain information that can be applied to work procedures to achieve appropriate service delivery, Ability to manage own schedule and responsibilities. Keep Regional Coding Operations Manager informed of any issues that prevent timely submission of claims, Assist individual market coding staff with day-to-day coding duties, as needed, including but not limited reviewing provider documentation to ensure assignment and sequencing of procedural and diagnostic codes to ensure accurate and timely submission of claims, Participate with special projects and other duties as assigned, Expert working knowledge of CPT-4, ICD9, ICD-10-CM and HCPCS codes as well the National Correct Coding Initiative (NCCI) edits, Remains current on reimbursement regulations and coding guidelines and keeps the market informed of changes, Ability to convey information in a clear, concise and accurate manner, Obtains necessary CEU’s to maintain required competencies, licenses and certification, Demonstrates proficiency using Microsoft products (Excel, Word, PowerPoint) and a medical management system, Works with all team members to promote a harmonious work environment and encourages an open and honest exchange of ideas with all internal and external customers, Demonstrates the ability to gather and analyze data in order to solve problems and develops an alternative course of action and/or alternative solution, when necessary, Maintains a strong work ethic and demonstrates a high level of professionalism; and, Ability to work independently, prioritize work and complete projects/tasks in a timely manner, Completion of college level courses in medical coding/billing, medical terminology, anatomy and physiology, highly desirable, Must be certified through the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC), Preferred OR, 5+ years of progressive coding and management experience, Responsible for executing transactional processes, Check and review invoices for VAT coding compliance, according Cargill internal policy, Daily communication with Tax personnel, Business units on questions arising within VAT coding issues, Participate trainings and process improvement projects within Global Business Services, Ensure all internal controls are in place and monitored according Cargill policies, Respond to BU to deliver error free process, Bubuilding supportive relationships with peers and colleagues, This role will report to the Indirect Tax Supervisor, Finance Shared Services in Sofia, Bulgaria, Problem-solving skills with an ability to identify and resolve problems in a timely manner, Demonstrate commitment to internal control, Strong sense of ownership and follow-through, Strong listening and communication skills, Ability to adapt to change and learn quickly, Good working knowledge of MS Office (Word / Excel), Working Knowledge of ERP (JDE/SAP) would be preferred, Coding Technical Skills - extensive regulatory coding (ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT-4, Modifiers, MS-DRGs, POA assignment and where applicable APR-DRGs and APCs) and associated reimbursement knowledge, Critical Thinking - actively and skillfully conceptualizing, applying, analyzing, synthesizing or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning or communication as a guide to belief and action, Building Trust - interacts with others in a way that gives them confidence in one’s intentions and those of the organization, Effective Operational Decision Making - relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values, Managing Conflict - dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people, Energy - consistently maintaining high levels of activity or productivity; sustaining long working hours when necessary; operates with vigor, effectiveness, and determination over extended periods of time, Stress Tolerance - maintaining stable performance under pressure or opposition; handling stress in a manner that is acceptable to others and the organization, Planning and Organization - proactively prioritizes initiatives, effectively manages resources and keen ability to multi-task, Communication - communicates clearly, proactively and concisely with all key stakeholders, Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations, Work Independently - is self-supporting; not needing to rely on others to complete a job, Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time, PC Skills - demonstrates proficiency in Microsoft Office applications and others as required, Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems, Project Management - assesses work activities and allocates resources appropriately, Coach, Mentor and Educate - provides timely guidance and feedback to help strengthen the knowledge/skill set of others to accomplish a task or solve a problem, Minimum 7 years' recent inpatient/outpatient hospital coding experience required, Experience managing a large coding team or coding review team strongly preferred, Bachelor’s Degree in Nursing required (Associate’s Degree or Nursing Diploma from accredited nursing school with 2 or more years of additional experience may be substituted in lieu of a bachelor’s degree) and current RN license in good standing, A graduate of allied health care related course with commensurate experience in data management, Minimum of 5 years coding experience required, At least 2 years of Coding in Clinical Research/Data Management, Strong knowledge of ICH guideline, or adequate background and have attended seminars for MedDRA and WHODD use, Knowledge of coding tool Central coding, INFORM a plus, Proficiency on all related regulations, GCP, and Good Clinical DM Practice, Computer proficiency and knowledge of medical terminology, Develop and execute business unit strategy, plans and programs, both short and long range, to ensure profit growth and expansion, Drive P&L performance of top and bottom line targets, Set product strategy and execute on sales targets (multi-million dollar sales targets) for the facility coding product line, Analyze activities, costs, operations, and forecast data to achieve business unit goals and objectives, Recognize the achievement and contributions of others, Evaluate individual performance including holding team members accountable to agreed-upon deliverables, Provides direct supervision to assigned employees through leadership, coaching, training and development, allocating work assignments, review of progress in achieving objectives, managing employee compensation, performance appraisals, diversity, disability, all relevant employee data, etc. Estimates for patients and collected deposit for procedures the employer for the determination of accurate claims processing programming projects your. 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