Catholic Health · 1 month ago
Coding and Documentation Review Specialist
Catholic Health is one of Long Island’s finest health and human services agencies. The Coding and Documentation Review Specialist is responsible for reviewing provider documentation and coding charge review errors, ensuring appropriate coding prior to billing, and identifying trends for improved documentation and billing processes.
Health Care
Responsibilities
Review documentation and coding for both inpatient and outpatient (hospital and office) professional services prior to the release of charges
Queries the provider of items in the chart that need to be reviewed or corrected as it relates to the coding selected
Responsible for monitoring regulatory changes as they apply to billing and coding in the inpatient and outpatient setting
Serves as resource to the practices/departments for data mining and coding to ensure reimbursement accuracy
Identifies coding issues related to billing denials, collaborates with the Coding Educator and Revenue Integrity as needed to assist with the preparation of training materials and examples to prevent future coding/billing issues
Accurately code diagnosis and documentation of medical conditions of patients
Expected to maintain department productivity standards and accuracy rates
Qualification
Required
Minimum of High School diploma or equivalent, along with accepted coding certification(s): CPC, RHIT, CCS
Must be able to interact in a positive manner with physicians, nurses and other team care members
Demonstrates personal initiative, team spirit, and service orientation while maintaining a positive, caring, professional attitude
Excellent research skills as it relates to medical specialties and documentation and coding requirements
Dependable, motivated, professional and work well independently or with a group
Medical terminology, ICD10 proficiency, CPT proficiency
Highly organized and pays close attention to detail
Strong written and verbal abilities
Minimum of 1 year coding experience
1-2 years practice operations/revenue cycle experience
Knowledgeable in electronic health record systems
Microsoft Word and Excel
Benefits
Generous benefits packages
Generous tuition assistance
A defined benefit pension plan
A culture that supports professional and educational growth
Company
Catholic Health
When it comes to health care, Long Islanders have a choice.
Funding
Current Stage
Late StageRecent News
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