Remote Physician Pro Fee Coding Specialist - ENT

Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 43 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 76 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

• Summary :
• Reviews and assures that all services documented in the patient's charts are coded with appropriate CPT, HCPCS and ICD codes.
• Specialty : ENT
• Essential Duties and Responsibilities
• include the following. Other duties may be assigned.
• Evaluates medical record documentation to ensure appropriate assignment and sequencing of the correct diagnostic and procedure codes for services and treatments as documented in health records.
• Provides training, mentoring and direction to medical coding staff in the department.
• Works with clinics to resolve denials from the clinic denial logs.
• Requests additional medical records as needed to clarify missing or inadequate medical record information required to complete the coding assessment and adhere to documentation and billing requirements.
• Makes corrections as needed to ensure accurate coding and billing and reimbursement processing.
• Communicates coding results to the appropriate staff for data entry.
• Maintains a working knowledge of CPT, HCPCS and ICD coding principles, governmental regulations, protocols and third party requirements regarding billing and documentation.
• Remains current on all changes in legislative regulations that impact coding.
• Reports noncompliance issues detected through auditing and monitoring to the department supervisor and the Senior Director of Physician Coding and Documentation.
• Ensures assigned projects are completed in a timely manner
• Maintains strict confidentiality of provider information, patient data, financial and billing information
• Reports noncompliance issues detected through to the department Manager and Senior Director
• Complies with all policies and procedures of the Corporate Compliance Program
• Attends meetings as requested, which may necessitate working in the evening or very early morning
• Assists with special projects as assigned by the Senior Director of Physician Coding, Documentation and Compliance and supervisor
• Work with other staff members to inspire teamwork and promote cooperation.
• Qualifications :

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

To perform this job successfully, an individual should have knowledge of Word Processing software; Spreadsheet software and Database software; practice management software and electronic medical records software.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to sit for prolonged periods of time, work on keyboard and view monitor for majority of the work day..

CPC or CCS-P

N / A

High School Diploma and / or GED

Minimum of 5 years experience working with physician offices or clinics working with diagnostic and procedure coding and / or medical billing

In order to successfully perform this job, with or without a reasonable accommodation, the following are outlined below :

1. The Employee is required to read, review, prepare and analyze written data and figures, using a PC or similar, and should possess visual acuity.

2. The Employee may be required to occasionally climb, push, stand, walk, reach, grasp, kneel, stoop, and / or perform repetitive motions.

3. The Employee is not substantially exposed to adverse environmental conditions and; therefore, job functions are typically performed under conditions such as those found within general office or administrative work.

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to : hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http : / / www.chs.net / serving-communities / locations / to obtain the main telephone number of the facility and ask for Human Resources.