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    Financial Policy Specialist - United Kingdom - St. Charles Health System Inc.

    St. Charles Health System Inc.
    St. Charles Health System Inc. United Kingdom

    1 week ago

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    Description
    ProFee HIM Coding Specialist 2 page is loaded ProFee HIM Coding Specialist 2

    Apply locations Remote Oregon Remote Remote Tennessee Remote Nevada Remote New Mexico time type Full time posted on Posted 30+ Days Ago job requisition id R Typical pay range: $44 per hour, based on experience.

    This position is eligible to work remotely from a state approved by St.

    In addition, the position comes with a comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan, and generous Earned Time Off (ETO).

    Creating America's healthiest community, together
    In the spirit of love and compassion, better health, better care, better value

    The Health Information Management Departments provide many services to our multi-hospital organization including: prepping, scanning and indexing, physician deficiency analysis, release of information, medical record maintenance, facility and profee coding.

    The Professional Fee Coding Specialist II at St.

    Charles Health System is responsible for coding and charging SCMG Clinical Services as well as resolving billing edits and denials.

    Reads and interprets documents contained in the medical record to identify and code all relevant ICD–10-CM diagnoses and CPT-4 procedures for professional fee charges by utilizing an encoder program, and following National and SCHS coding guidelines, Coding Clinic, CPT-4 and other appropriate coding references and tools to ensure proper code assignment and modifiers.

    Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate. This may include data for clinical studies and quality management activities.
    Reconciles CCI and Medical Necessity edits.
    Maintains productivity and quality standards.

    Work closely with the Patient Financial Services department on: medical necessity issues, claim denials, charge master issues and charge auditor issues.

    Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

    Graduate of an AHIMA Accredited Health Information Technology program or certification in a self-study course from AHIMA or AAPC required.

    Must have a valid Oregon driver's license and ability to meet SCHS driving requirements. Ability to travel to all SCHS worksites.
    Minimum of one year of hospital or professional coding experience with a Health Information Management focus.
    Knowledge of CCI and Medical Necessity edits


    Language Skills:
    Read, write, speak and understand English.


    Computer Skills:
    Intermediate ability and experience in computer applications, specifically electronic medical records system and MS Office.
    Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned CBL's.
    Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
    No Risk for Exposure to BBP


    Regular Shift:
    First Shift (United States of America) Is Exempt Position?
    Monday-Friday Shift Start &

    End Time:

    With a variety of nursing positions available, you can choose a career path that fits both your interests AND your lifestyle.

    Need Help?

    Please click on the link for additional help on navigating the candidate site and features of the candidate home page.

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