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Education and Compliance Specialist

3 months ago

St Paul, United States Regions Hospital Full time
Job Description

The Education and Compliance Specialist (ECS) will be responsible for partnering with providers and clinical operations staff to support the Regions Hospital and HealthPartners revenue cycles, with a focus on specialty coding for interventional cardiology and high tech imaging. The ECS understands and optimizes the revenue cycle for their specific sub service area, which requires a comprehensive understanding of the areas that can hinder optimal performance of revenue capture, including practice management issues such as registration, scheduling, and denial management, but also an in-depth understanding of Epic in the areas of charting tools, charge dropping, and charge review/charge router/follow-up work queues.

The ECS also provides local support to providers and clinical staff for CPT, HCPCS, and ICD-10-CM coding systems, and acts as a liaison between the delivery sites and Care Systems Improvement (CSI) to support the Compliance Program and CSI educational activities around coding, billing, and compliance.

This position is eligible to work remotely following onsite training in Saint Paul, MN, with occasional onsite meetings depending on business needs. Employees must reside in Minnesota, Wisconsin, Iowa, North Dakota, or South Dakota, and have a reliable internet connection and a quiet place to work free from interruptions.

Work Schedule:
  • Monday-Friday days, remote in Minnesota, Wisconsin, Iowa, North Dakota, or South Dakota.
Required Qualifications:
  • Associate degree and three years of coding experience OR bachelor's degree and one year of coding experience.
  • Certified Professional Coder (i.e., CPC, COC, CIC) from the American Academy of Professional Coders (AAPC) OR Certified Coding Specialist (i.e., CCS, CCS-P, RHIA) from the American Health Information Management Association (AHIMA), OR the ability to obtain one of these certifications within one year of hire.
  • Thorough understanding of the front and back end revenue cycle components in a physician and hospital setting.
  • Demonstrate and be able to apply CMS's Correct Coding Initiative and WPS Medicare's Medical Policy Index.

Additional Information:

This is a non-union 1.0 FTE (80 hours per pay period) day shift position working remotely in Minnesota, Wisconsin, Iowa, North Dakota, or South Dakota. The full salary range for this position is $26.66-$39.99 per hour, based on experience and internal equity. This position is non-exempt under the Fair Labor Standards Act, and is eligible for benefits, which begin on day one of employment. Our benefits include medical and dental insurance (which begin on day one of employment), 401k with match, disability insurance, fertility benefits, tuition reimbursement, educational reimbursement toward continuing education, and we are a qualified non-profit employer under the federal Public Service Loan Forgiveness program. We offer an onsite employee fitness center and an onsite employee clinic to make it more convenient for our staff to get the care they need. We also have a Center for Employee Resilience that provides support and evidence-based practices to bring relief and build resiliency. Regions is also proud to be a Yellow Ribbon Company.

About Us

At HealthPartners we believe in the power of good - good deeds and good people working together. As part of our team, you'll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.

We're a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At HealthPartners, everyone is welcome, included and valued. We're working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Join us and become a partner for good, helping to improve the health and well-being of our patients, members and the communities we serve.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.