Revenue Cycle coding Specialist

3 weeks ago

Reading, United States Supportive Concepts for Families Full time

Are you an experienced Fiscal professional looking for a new opportunity at a growing company? Then the Revenue Cycle Coding Specialist position is the perfect role for you

Apis Services Inc. is currently hiring for a Revenue Cycle Coding Specialist.

The Revenue Cycle Coding Specialist will function with autonomy, diplomacy and professionalism within the guidelines established by this organization. Promote the well being of the human aspect of this organization and report any concerns to the Director of Coding. Function with the highest esteem in dealing with all employees, supervisors, and consumers of this organization. Be an advocate for all of the policies and protocols of the organization. Responsible for accurately assigning diagnostic and procedural codes to patient records for billing and reimbursement purposes. This role plays a critical part in ensuring compliance with coding guidelines and regulations while optimizing revenue cycle management.

RESPONSIBILITIES OF THE JOB AND ESSENTIAL ELEMENTS:

PERFORM AND/OR SUPERVISE ALL DUTIES RELATED TO REVENUE CYCLE

* Review patient medical records, including physician notes, lab results, and diagnostic reports, to accurately assign ICD (In-ternational Classification of Diseases) and CPT (Current Procedural Terminology) codes.
* Utilize coding guidelines, conventions, and regulations (e.g., ICD-10-CM, CPT Assistant, CMS guidelines) to ensure accu-rate code selection.
* Abstract relevant information from medical records to support code assignment.
* Adhere to coding compliance standards and regulatory requirements, including HIPAA regulations, OIG guidelines, and payer policies.
* Conduct regular quality reviews and audits of coded data to ensure accuracy and completeness.
* Collaborate with clinical documentation improvement (CDI) team members to clarify documentation and ensure accurate code assignment.
* Identify opportunities to improve coding efficiency and effectiveness to maximize reimbursement.
* Assist in resolving coding-related denials and rejections by reviewing and appealing claims as necessary.
* Participate in revenue cycle meetings and initiatives to support overall financial performance.
* Maintain accurate and up-to-date documentation of coding activities, including code assignment, reviews, and audits.
* Generate reports and data analysis related to coding productivity, accuracy, and compliance as needed.
* Communicate coding-related issues, trends, and updates to relevant stakeholders.
* Stay current with coding guidelines, regulations, and industry trends through ongoing education and training.
* Pursue coding certifications and professional development opportunities to enhance skills and knowledge.
* Performs chart audits, reviewing of accuracy and compliance
* Create and maintain documentation, training materials, and resources to support the revenue cycle management team in their day-to day operations.
* Provides assistance to all management staff related to the performance of financial management matters
* Assist with other fiscal duties as assigned by Fiscal Management

MINIMUM EDUCATIONAL QUALIFICATION REQUIREMENTS:

* High school diploma or equivalent required; Associate's or Bachelor's degree in Health Information Management, Health Infor-matics, or related field preferred.
* Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or similar coding certification required.
* Minimum of 1-3 years of coding experience in a healthcare setting preferred.
* Proficiency in ICD-10-CM/PCS and CPT coding systems and conventions.
* Familiarity with medical terminology, anatomy, and physiology.
* Strong attention to detail and accuracy in code assignment.
* Excellent analytical and problem-solving skills.
* Ability to work independently and collaboratively within a team environment.
* Proficient computer skills, including experience with coding software and electronic health record (EHR) systems.
* Strong communication and interpersonal skills.

PREFERRED EXPERIENCE:

* 3 plus years of relevant experience
* Experience working in a non profit organization
* Excellent communication skills
* Excellent computer skills
* Excellent writing, documentation, and financial skills
* Excellent organizational skills
* Team Player

If you are interested in this position and would like to learn more, apply today at www.apismgt.org/careers

Who is Apis Services Inc:. Apis Services, Inc. (a wholly-owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies. Allowing these entities to advance their mission and vision. By exploring geographical program expansion and focusing on quality outcome measures to create cost savings that result in reinvestment into the organizations stakeholders through capacity creation and employee compensation betterments.

Apis Services, Inc and affiliates provides equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment.

All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy/childbirth, veteran status or any other basis protected by law. This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment

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