Physician Coding & Support Specialist - Remote

Physician Coding & Support Specialist - Remote

Job Category : FINANCE, ACCOUNTING AND REVENUE CYLCE OPERATI Requisition Number : PHYSI003599 Showing 1 location Job Details

Description

About Sound :

Sound Physicians is a leading physician partner to hospitals, health plans, physician groups, and post-acute providers seeking to transform outcomes for acute episodes of care.

For 20 years our high-performing and affordable care models have combined physician leadership, clinical process, technology and analytics to consistently improve clinical and financial performance.

We are pioneers in value, working together with our partners and community providers to bridge gaps in care, from hospital to home.

Sound Physicians offers a competitive benefits package inclusive of the items below, and more :

• Medical insurance, Dental insurance and Vision insurance
• Health care and dependent care flexible spending account
• 401(k) retirement savings plan with a company match
• Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
• Ten company-paid holidays per year

POSITION SUMMARY :

The Physician Support Specialist is responsible for coordinating and providing ongoing support for Emergency Medicine and Anesthesia providers as it relates to day to day operations, coding, billing and compliance functions under the direction of the Physician Coding & Support Manager.

The Physician Support Specialist will work collaboratively with the Physician Coding & Support Manager, external stakeholders, Compliance team, and our billing vendor as needed to resolve shared issues and concerns.

In addition, he or she may participate in other projects as assigned.

The Physician Support Specialist acts as liaison between Emergency Medicine and Anesthesia providers, Revenue Cycle, third party coding team and our billing vendor to ensure timely charge capture, query response, accuracy of documentation, coding, and billing against federal regulations (Medicare) and other laws and state laws and regulations that may apply.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

• Provide physician support for charge capture, provider queries, coding and billing.
• Analyze data, prepares reports based on billing and coding trends, and participates in the development and implementation of follow-up education and provider outreach, in open queries, etc.
• Assists in determining training needs based on feedback from third party Coders and provider / staff feedback and prepares training materials with the assistance of internet research, publications and professional networking.
• Coordinates training in an organized, professional manner. May provide training as part of implementing corrective actions.
• Responds to coding and compliance questions from faculty, coding staff, administrators and others.

STANDARD JOB RESPONSIBILITIES

• Conduct business with employees, patients, the physicians and outside parties in a professional appropriate manner conducive to maintaining good working relations.
• Ability to follow all Sound Physicians policies regarding security and confidentiality.
• Adheres to all company policies and procedures.
• Represents Sound Physicians confidentially and professionally at all times.
• Develops productive working relationships with internal and external stakeholders.
• Immediately reports regulatory compliance issues or concerns to the Compliance Director.
• Maintains strict confidentiality of all information obtained from any source in accordance with privacy and disclosure laws and Sound Physicians policies.
• Consistently demonstrates integrity, initiative and team-building support. Role model for professionalism, highly organized approach and commitment to continuous improvement.

KNOWLEDGE / SKILLS / ABILITIES

• Extensive knowledge of ICD-9-CM and ICD-10 CM, CPT and HCPCS coding principles and guidelines with knowledge of Emergency Medicine and Anesthesia preferred.
• Knowledge of federal and state regulations related to documentation, coding and billing.
• Successful experience working both independently and in teams.
• Demonstrated ability to establish positive and courteous working relationships, effectively manage competing priorities, apply critical thinking skills, and accurately complete highly detailed work.
• Demonstrated ability to communicate effectively orally and in writing with all levels of management and medical staff.
• Ability to interpret physicians documentation and identify / extract billable services from medical records.
• Consistent exercise of discretion and judgment.
• Documented initiative to further ones coding skills via coding-related continuing education, professional association participation, or other similar activities.
• Excellent oral and interpersonal communication skills, with the ability to convey a positive and professional image in person, and to interact effectively with diverse personalities and backgrounds.
• Knowledge of CMS and ACGME teaching physician documentation standards.
• Must be highly organized, detail oriented, and able to manage multiple competing priorities with a high degree of speed and accuracy.
• Proficiency with Windows based software and Microsoft Office Suite products in a network environment.
• Advanced knowledge and experience in Microsoft Excel
• The ability to absorb information and form general rules or conclusions (including find relationships among seemingly unrelated events);

and to apply general rules to specific problems to produce answers that make sense.

• Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Use relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.

EDUCATION :

A current coding credential from AHIMA and / or AAPC.

EXPERIENCE :

• Minimum of three years experience with emergency medicine and / or anesthesia preferred and / or hospital billing and coding operations or compliance.
• Preferred 5 years of experience with emergency medicine and / or anesthesia coding and auditing
• Minimum of three years in emergency medicine and / or anesthesia provider training and education

II SPECIAL JOB OR ENVIRONMENTAL CONDITIONS :

• Indoor office environment
• May require periodic travel to Sound Physicians locations
• Telecommuting is acceptable

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