What are the responsibilities and job description for the Coding and Documentation Review Specialist position at Catholic Health Services?
Overview
Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.
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At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time.
We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace!
Job Details
Responsible for the review of provider documentation and coding charge review errors as well as Evaluation and Management coding. Ensure that the coding is appropriate prior to releasing the claims to be billed. Identify trends and opportunities for improved documentation and billing and communicate those trends with the Coding Educators and providers. Must be fluent with the Evaluation and Management guidelines, ICD10 coding guidelines for outpatient, inpatient, observation coding including but not limited to all office based services, procedural coding and hospital rounding.
DUTIES / 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 a 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.
POSITION REQUIREMENTS AND QUALIFICATIONS :
Education :
Minimum of High School diploma or equivalent, along with accepted coding certification(s) : CPC, RHIT, CCS
Skills :
Experience :
Salary Range
USD $62,000.00 - USD $83,000.00 / Yr.
This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses / incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.
At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.
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Salary : $62,000 - $83,000
