Campus Pride Jobs

JOB REQUIREMENTS: Overview Performs coding reviews and claim audits in order to resolve coding edits and denial issues, (outpatient, inpatient, and clinical episodes of care), providing education to all partners. Performs both professional and facility coding functions to ensure compliancy. Performs other duties as assigned. May be asked to work weekends and reasonable amounts of overtime when necessary. Responsibilities Essential Duties and Responsibilities Reviews, analyzes, and interprets documentation and identifies discrepancies between the code selection and the documentation; corrects them, and presents findings and education to the appropriate partner. Resolves pre-bill claim edits from all areas and as identified by claims scrubbing software. Maintains a close working relationship with departmental staff, frequently querying them and providing education when coding discrepancies arise. Researches and provides education to all partners regarding CMS policies related to outpatient coding, inpatient coding, and professional fee coding, and presents findings to them. Solves complex billing and claim denial issues related to coding by researching policies and guidelines. Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS) and contracted payers. Has a thorough understanding of the differences between professional coding in a clinic setting as compared to professional coding in a hospital setting (outpatient and inpatient), and demonstrates a high skill level in the practical application of that knowledge. Maintains an in-depth knowledge of Epic billing, ambulatory, and hospital modules. Responds to customer concerns through coding reviews requested by other departments. Assists with all coding functions at or above the level of a Medical Coding 1 job description. Works as a team to achieve productivity goals. Culture of Excellence Behavior Expectations To perform the job successfully, an individual should demonstrate the following behavior expectations: Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals. Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions. Partnering - Shows commitment... For full info follow application link. EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity employer functioning under Affirmative Action Plans. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/EFBABE8CA2664FD1