Coding Specialist

3 days ago

Toledo, Ohio, United States ProMedica Full time

Location:

Remote - Ohio

Department:

HIM Revenue Cycle

Weekly Hours:

40

Status:

Full time

Shift:

Days (United States of America)

Job Summary:

As a Coding Specialist, you will conduct audits of physician/provider documentation and coding for office and surgical procedure encounters.

You will research and communicate government and private insurance carrier coding/billing policies and provide regularly scheduled education for providers and staff on appropriate coding and billing.

In this role, you will review code change requests and conduct review of coding denials or other payer requests.

The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive.

REQUIREMENTS

  • Associate degree, preferably in a health information management or related field
  • Extensive knowledge of ICD-10, CPT and HCPCS coding.
  • Minimum of 3 years of physician/professional complex surgical and E&M coding experience in a health care system or medical office setting
  • CPC, CCS-P, CPMA, RHIT or RHIA

PREFERRED REQUIREMENTS

  • Bachelor's Degree in health information management or related field
  • 3+ years of physician/professional complex surgical and E&M coding experience in a health care system or medical office setting
  • 1-2 years of experience in professional coding auditing and provider education

ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit

Benefits:

We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It's what makes us one of the best places to work, and helps our employees live and work to their fullest potential.

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact

Equal Opportunity Employer/Drug-Free Workplace

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