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Must-Haves:
Education and Experience:
Graduation from a formal coder training program or completion of an academic class in medical coding.
2+ years of hospital coding or charge audit experience. (Two additional years of coding experience may substitute for educational requirements.), HS Diploma (or equivalent – GED) is a MUST
Coding Knowledge and Skills:
Proficiency with ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems.
Experience with electronic medical billing systems such as PBAR and Cerner.
Understanding of federal coding compliance regulations and guidelines.
Accuracy and Productivity:
Ability to meet productivity and accuracy/quality standards, including entering 98% of CCL charges into the electronic billing system within 3 days of the date of service.
Collaborative Skills:
Experience working collaboratively with physicians, staff, and management to identify opportunities for improving charge capture and billing accuracy.
Error Resolution and Process Improvement:
Capability to review, reconcile, and correct charges and documentation errors.
Ability to provide recommendations for staff education and process improvements to the CCL Manager.
Nice-to-Haves:
Technical Proficiency:
Familiarity with Soarian Financials Billing Edits and Billing Processes.
Additional Skills:
Experience in reviewing and editing previously submitted charges due to billing errors or insurance requirement changes.
Ability to consult with medical providers to clarify record information and determine appropriate codes.
Additional Experience:
Experience in reviewing and reconciling charges in other electronic medical billing systems beyond PBAR and Cerner.
Experience with cardiac Cath lab procedures and charges.
Summary:
In accordance with current federal coding compliance regulations and guidelines, use current ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems to accurately abstract, reconcile and review procedure and physician documentation in order to code, and enter into PBAR, Cerner or other electronic medical billing systems. Understands coding/billing computer systems in a manner to assure bills drop timely with appropriate codes. Meet the productivity and accuracy/quality standards including, but not limited to 98% of CCL charges entered into the electronic medical billing system within 3 days of date of service. Work collaboratively with physicians, staff and management to identify opportunities for improving charge capture, accuracy and timeliness of entry into electronic billing systems. Recommendations for staff education and process improvement will be escalated to the CCL Manager
Ronin Staffing (RONIN) is a full-service provider of award-winning Human Capital Management, Temporary & Direct Hire Support. This includes, but not limited to, full spectrum support categories such as Engineering, Manufacturing Operations, IT Development & Service Support, Program Management, Biotechnology, Pharmaceutical, Research and Hospital Labor.
RONIN's capabilities are evident in our people, processes, and tools. Our history of successful, high-quality contract performance is built upon our world class technical background and on our expertise managing contracts and programs.
Driven by our service mantra of the 4 C’s – “Clear, Consistent and Constant Communication”, RONIN's “High Touch” programs are developed keeping in mind our customers’ program needs and other business drivers including but not limited to, increasing efficiencies, introducing best practices and processes, increasing spend visibility, using business analytics to understand trends and realizing their impact, ensuring workplace safety, leveraging direct labor and billing rates rationalization (on a national basis), increasing diversity spend and diversity inclusion.