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Providence Health & Services Coder Physician Billing, Telecommute in Burbank, California

Description:

Providence St. Joseph Health is calling a Coder, Physician Billing to our location in Portland, OR.

We are seeking a Coder who is accountable for analyzing and correcting billing errors due to coding or incorrect uses of codes or charges through CPT/HCPC and ICD-9 code additions/deletions/revisions. This role provides support for the PB AR Managers and AR Supervisors and their staff on billing problems that delay payment due to coding or incorrect use of charges. The incumbent identifies areas of improvement for providers, clinical departments, and cross-functional revenue cycle departments to be informed to revise billing practices in order to capture the highest reimbursement from all payors, with consideration for governmental rules and regulations and industry trends and practices relating to billing practices.

The incumbent performs all duties in a manner that promotes Providence mission, values, and philosophy. In all aspects, he/she serves as a role model for the values and mission of the organization.

In this position you will have the following responsibilities:

  • Analyze and correct billing errors due to coding or incorrect uses of codes or charges through CPT/HCPC and ICD-10 code additions/deletions/revisions.

  • Provide support for the PB managers/supervisors and their staff on billing problems that delay payment due to coding or incorrect use of charges.

  • Identify areas of improvement for providers (hospital, primary care and specialty) to educate and revise billing practices in order to achieve maximum reimbursement for all carriers, with consideration for governmental rules and regulations, coding guidelines from AMA and Medicaid, and industry trends and practices relating to billing practices.

  • Research any denial of payment due to incorrect use of codes, the lack of codes or inappropriate charges.

  • Make corrections to billing for resubmission of claim based on insurance requests for additional coding information.

  • Work closely with trainers and reviewers to identify and escalate trends to PB management (i.e. Coding and Compliance Manager, Clinic Liaisons, Cash Posting (Charges), etc.) as appropriate.

  • Coordinate with the appropriate departments in the investigation of claims adjudication questions.

  • Complete work thoroughly, according to specifications, presentable, and with a minimum number of errors.

  • Participate in continuous quality improvement (CQI) efforts to streamline workflows to maximize the team’s effectiveness and efficiency.

  • Perform other work-related duties and special projects as assigned by the Manager.

Qualifications:

Required qualifications for this position include:

  • High school diploma or GED equivalent

  • Certification required in one of the following: CRT, ART, CPC, CCS, CCS-P and/or ACS-EM” with knowledge of the health care field

  • Ongoing education of state, federal, and contractual regulations regarding billing and coding

Preferred qualifications for this position include:

  • Strong clinical and reimbursement experience

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Coding

Location: Oregon-Portland

Other Location(s): Montana-Missoula, Alaska-Anchorage, California-Burbank, Washington-Renton

Req ID: 248287

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