What are the responsibilities and job description for the Data Integrity Coding Support Specialist position at St. Mary's Healthcare?
Job Requisition: REQ3495
Employment Type: Full-Time
Shift: Days
Hours Per Week: 40 hours
Hiring Range : $27.54 - $35.81
The actual compensation for this position will be determined based on experience and other factors permitted by law.
Responsibilities:
Receive payer/third party denials for coding, clinical validation, route denial notifications/letters to the appropriate HIM associate for processing/response.
SPARCS data submission/validation/corrections accurate and timely each month.
SPARCS Comparison Audits completed timely.
Database submissions for mortalities, birth defects, cancer registry.
Track denials to send appeals in a timely manner, track denials/appeals to closure, including follow up with payer/third party.
Compile routine and ad hoc reports for denial trending/tracking/reporting.
Collaborate and communicate effectively with Patient Financial Services to ensure win/loss for each denial (account) is recorded appropriately.
Work within the Expanse/3M system to review/resolve accounts on the hold lists to facilitate the coding/billing process including follow up with provider offices and coding associate team.
Routinely work tasks/denials within Expanse to ensure timely filing limits are met.
Minimum Qualifications
Education, Training & Experience HS diploma or equivalent with a minimum of three (3) years' experience in HIM, or a combination of HIM experience and at least one (1) year of college education.
Associate Degree in Health Information Management or related field preferred.
Certifications / Licensure AHIMA and/or AAPC Coding Certification, or RHIT,RHIA preferred.
Required Skills & Attributes:
Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of
the job.
Must be able to multitask while remaining professional, focused, composed and positive.
Excellent customer service skills
Displays integrity, friendliness, and compassion.
Must be able to establish an appropriate and effective rapport with others.
Demonstrates flexibility
Takes initiative
Able to work in a fast-paced environment
Embraces new opportunities to grow both personally and professionally.
Effective critical thinking and problem-solving skills.
Proficient with various Microsoft Office products (Word and Excel).
Strong organizational skills.
Effective interpersonal skills.
Ability to take and follow direction in a positive and appropriate manner.
Ability to work as part of a team and independently. Must be able to demonstrate effective and appropriate written and oral communication skills.
Must be able to speak, read, write and follow instructions in English.
Salary : $28 - $36
