Coder (RCIA) (req num: 9924) Billing/RCIA/Cash STPH Covington, LA
- Day shift
Summary of the Job:
The Coding Auditor will work closely with the PFS Supervisor and other PFS leaders to ensure coding accuracy for appropriate billing of claims and reporting accuracy. This individual will be primarily responsible for ensuring the charge capture processes are clearly defined and optimized and that the codes that end up on the claims, regardless of coding source, are appropriate. The coding auditor will collaborate with the HIM team, Revenue Cycle teams and applicable clinical areas to support accurate and timely charge capture and coding. This position will also conduct ongoing and scheduled audits of outpatient and inpatient coding, and physician office coding of claims. Works with Directors, Department Heads, Managers and clinicians as appropriate from all areas of the organization to assess the effectiveness of these processes and work collaboratively to develop and implement solutions for improvement. Position may require working at multiple locations.
Minimum Qualifications: Bachelor's degree from four-year college or university; or other independent study coding program. The Coding auditor should have minimum of two years coding experience or three year combination of certification and related medical experience. An understanding of revenue cycle processes, requirements and best practices preferred.
Preferred professional certification – CPC, CCS, CCSP, COC or CRC
Considered professional certification with related experience - CCA
Considered specialty certification with advanced experience – CCC, CCVTC, CEMC, CFPC, CGSC, CHONC, COSC or CPEDC
Up-to-date knowledge of ICD-10, CPT, HCPCS Level II and III, APC, APG, modifiers, revenue codes, CCI edits, unique coding and compliance challenges, and bundling/unbundling. Self-directed with strong analytical and operational problem solving skills. Strong analytical background with ability to translate very technical information and findings to others.
Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 20 pounds is required.
Physical Effort required: Constant (67%-100%) – talking, hearing, seeing
Frequently (34%-66%) – NONE
Occasionally (1%-33%) - lifting, carrying, pushing/pulling, climbing (stairs, ladders, poles, etc.), balancing, crouching, crawling, reaching, handling/feeling
St. Tammany Parish Hospital is a full-service acute care facility committed to providing world-class healthcare while using the latest technology. We are the second-largest employer in the parish and have been delivering quality healthcare since 1954. St. Tammany Parish Hospital partnered with Ochsner Health System in 2014 and together we are focused on increasing local access to care, improving quality and reducing the cost of healthcare for area patients.
Contact : Jennifer Randazzo
Email : firstname.lastname@example.org
Tel : 985-898-4540
Fax : 985-898-4360
Address : Jennifer Randazzo 1202 S. Tyler Street, Covington LA