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Professional Coder

1 month ago

Atlanta, United States Emory Healthcare Full time

Overview

Be inspired. Be valued. Belong. 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives

Ongoing mentorship, development, leadership more

Description

We're looking for a Professional Coder who will be accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding.

FRONT END CODER:

This position is accountable for the performance of charge capture, TES edit maintenance and resolution, denial prevention, and special projects in order to optimize the revenue potential for the department. Coder should be a near expert in E&M coding, could be asked to provide cross coverage over other similar specialties, and participates in the onboarding/training of Coder I. Revenue cycle responsibilities include daily functions that contribute to service capture, charge capture (procedure coding and Evaluation & Management expert), management of patient financial information (registration/insurance, referrals, pre-certs, , and collection of patient service revenue. This role will serve as a mentor for Coder Is as well as a coding resource to provide cross coverage during times of need. This role will be involved in targeted audits (presenting and defending findings), regular interaction with the physicians and other clinical providers as needed.

CODING DENIALS SPECIALIST:

The primary focus of this position will be to review and resolve all daily coding related denials based on coding/billing guidelines. The job role is accountable for edit maintenance and resolution, Denial resolution, charge correction and special projects in order to optimize the revenue collections for the Department. Research and resolve all outstanding coding related denials with work queues/coding specialties and complete all necessary follow-up within a timely and accurate manner. The job role is responsible for communicating all denial trends and denial increases directly to supervisor/manager in order to positively affect the volume of denials. 

MINIMUM QUALIFICATIONS:

High school diploma or equivalent preferred. Coding certificate through nationally recognized organization (AAPC, AHIMA, required: CCS-P, CPC, RHIA, RHIT, CCS. Two (2) years of professional coding experience in CPT, HCPCS and ICD10-CM. Coding certification in an outpatient specialty, preferred. Completion of the internal CDP program is preferred. Working knowledge of medical terminology, anatomy, and physiology. GE Centricity experience preferred. Knowledge of modifiers and appropriate application. Working knowledge of billing regulations, insurance coverage limitations, and managed care. Preferred knowledge includes: Introduction to research, Medicare guidelines and billing requirements, medical devices, professional medical society websites, and NCCI edit conventions.

Additional Details

Supporting a diverse, equitable and inclusive culture. Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members. Emory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training.

ACCOMODATIONS: EHC will provide reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.”

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.

Financial Benefits

Competitive Pay Retirement planning and counseling 403(b) fixed employer-based contribution* 403(b) retirement plans with 4% or 5% match based on years of service 457(b) plan for eligible employees Student loan repayment benefit Long-term disability insurance Short-term disability insurance Life insurance and supplemental life option Long-term care insurance option Hospital indemnity option Auto and home insurance discounts Identity protection insurance Employee hardship donation program Credit Union memberships Financial tools, resources and webinars to help with budgeting Health and Wellness BenefitsMedical and Dental Plans Three medical plan options including behavioral and preventive care coverage Health Savings Accounts/Flexible Spending Accounts Tier Zero Prescription benefits Two dental plan options Vision plan Infertility benefits Emory Eye Center and Emory Vision Center discounts Emory Aesthetic Center discounts Wellness Programs Employee Assistance Program – assistance with relationships, life events, challenges, daily living needs Healthy Emory wellness program with incentives Discounts at Emory wellness/fitness centers Other fitness center discounts Diabetes prevention program Wellness challenges Know Your Numbers kiosks Childcare Resources Discounts Placement assistance Back-up and emergency care options Emory Healthcare childcare co-op/app Access to Emory student job network