Details
Posted: 26-Mar-24
Location: Boise, Idaho
Salary: Open
Categories:
Operations
Overview
St. Luke's Health System is seeking a Coding Quality Specialist to join our team.
Must be located in Idaho or Oregon!
Exciting highlights of this role!
- Be our team expert for coding questions, complex cases, and coding denials
- Advise on coding guidelines and documentation requirements
- Create and deliver coding education to team, and support new specialist onboarding
- Auditing skill development
- Support a skilled and compassionate team!
- Network with healthcare professionals!
- Begin your career for a growing organization that values its employees
- Remote work and flexible schedule opportunities!
We are looking for people who are flexible with any scenario and who see change as an opportunity!
This is a FULL TIME position that is eligible for our full benefits package:
- Health, dental, and vision benefits
- Retirement plans with employer match
- Paid time off, Sick leave
- Life insurance
- And so much more!
Unit/Position SummaryUnder limited supervision, the Coding Quality Specialist is responsible for ensuring coding practices and procedures are in compliance with all applicable state and federal laws, regulations, rules, and policies of governmental authorities and payers.
Responsibilities:
- Demonstrates advanced competency with coding and review of medical record documentation to accurately assign codes based on state and federal regulations and company policies.
- Reviews reimbursement denials from third party carriers associated with inappropriate diagnosis or procedure coding.
- Responds promptly to questions from coders and utilizes various reports for the analysis and identification of patterns or trends when investigating issues.
- Analyzes and reviews documentation for appropriateness and completeness to ensure documentation supports the level or type of services billed and documentation is in compliance with all guidelines and regulations.
- Apply advanced coding knowledge to problem solve unique or new cases resulting in the assignment and sequencing of diagnosis and procedure codes.
- Communicates with department management regarding complex coding issues, auditing issues, and current coding regulations.
- Collaborates with department leadership to continually improve and maintain the efficiency and accuracy of the overall coding process.
- Interprets federal and state regulations related to coding and integrates applicable regulations into current processes.
- Performs other duties and responsibilities as assigned.
Minimum Requirments:
- Education: Associates degree.
- Experience: 5 year's experience.
- Licenses/Certifications: Must have at least one of the following credentials: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder), CAISS (Certified Abbreviated Injury Scale Specialist), CSTR (Certified Specialist in Trauma Registries).
Why St. Luke's
A strong, talented staff is at the heart of St. Luke's Health System. We are the state's largest employer with more than 15,000 employees and a medical staff of more than 1,800 physicians and advanced practice providers. We're proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue this same tradition of excellence.
OPTIONAL: For more information, please contact RECRUITER at EMAIL or PHONE
About City
RECRUITER TO INSERT LOCATION SUMMARY
*St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.