Position is Remote/Hybrid – Majority remote; on-site for quarterly meetings. Hours are Monday-Friday with flexible hours

This position will be responsible for:

Performance of provider quality reviews to ensure compliance with ICD-10 diagnosis coding, CPT coding including modifiers, CCI edits, other payer edits, Medicare and commercial payer policies as well as any regulatory coding guidelines across all specialties.  Attending and providing education to physicians, APPs, other leaders around results of reviews, coding, payer guidelines, etc as needed. Assist with any coding questions, research, etc as needed.

Must have the following to be considered:

Current coding or health information credential through AHIMA or AAPC.  3-5 years of coding and/or quality review experience with a preference of multispecialty coding of both surgical procedures as well as E/M coding. Knowledge of revenue cycle requirements and regulations with a preference of understanding both coding and billing, but the later is not a requirement. Requires critical thinking, problem solving, working well with others and strong presentation skills. Requires effective written and verbal communication skills in both individual and group settings.

 

High School Diploma/GED is required. Associate or Bachelor Degree in Health Information Management, Coding, Nursing or Finance is preferred. Coding/HIM Position - Requires RHIA, RHIT, CCS, CCS-P, CPC, CIC, COG or CHDA (based on position/focus). Clinical Position - Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license. BSN preferred (after 1/1/2013, ASN RN hired will be required to complete the BSN within five (5) years of hire date). Requires proficiency in the use of Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio & Access). Requires 5+ years experience in revenue cycle operations in various positions related to utilization management, coding, billing, collections, payment adjustments, auditing, denial management and medical record completion. Requires ability to read, understand and interpret medical records and other treatment documentation. Requires a high level of interpersonal, problem solving, and analytic skills. Requires effective written and verbal communication skills in both individual and group settings to ensure professional correspondence and presentation to all levels of  individuals  within  the  organization  (operational  team  members,  leadership internal  and  external  to Revenue  Cycle, clinicians, physicians,  auditors  and  other external individuals/groups). Requires the ability to establish and maintain collaborative working relationships with others. Requires ability to set and adjust defined priorities as necessary and to process multiple tasks at once. Requires strong attention to detail, problem solving and critical thinking skills. Requires ability to work with and maintain confidential information. Six Sigma or Lean Six Sigma training preferred.