Coding Compliance Specialist-Coding

MaineHealth | Damariscotta, ME, United States

Posted Date 10/05/2020
Description

Summary

Please note: This position is currently on-site and will require prior experience.

LincolnHealth is seeking a Coding Compliance Specialist –Coding in Damariscotta. This position is responsible for providing, chart review, coding, EPIC charge review, coding education and coding compliance for all employees and physicians managed by Lincoln Medical Partners. To provide Lincoln Medical Partners with accurate, timely coding and auditing services following all regulatory guidelines.

Responsibilities:

  • Monitoring accuracy of billing and documentation with respect to coding.
  • Training and quality assurance of coding functions for providers and support staffs.
  • Participates in development of an annual audit plan and in coordinating and conducting patient chart reviews in accordance with the organization’s compliance program.
  • Assisting practice and administrative office staffs, physicians, clients and managers with resolving coding questions/problems.
  • Protects patient health information by following established professional standards of code assignment, confidentiality, accurate data abstraction and accurate record filing and retrieval.
  • Qualifications:
  • Associate degree or equivalent from two-year college or technical school preferred but not required. Formal educational program to include medical terminology, anatomy and physiology, disease process, and principles of, ICD-10-CM and CPT coding.
  • CPC, Certified Professional Coder (AAPC), or CCS, Certified Coding Specialist (AHIMA), required certification or working to obtain certification within six months of date of hire.
  • Coding experience and/or billing experience preferred but not required.
  • Expertise in ICD-10 –CM CPT-4 coding for physician services and medical billing procedures.
  • Understanding of the coding audit process and possess the ability to implement and/or participate in the development of such.
  • Knowledge of regulatory requirements.
  • Ability to work independently without supervision and effectively implement oral and written instructions.
  • Affiliation with American Health Information Management Association or American Academy of Professional Coders recommended.
  • Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or complaints from patients, regulatory agencies, or other members of the business community. In addition, must be able to communicate effectively with peers, physicians and midlevel providers.
  • Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio and percent.
  • Ability to solve practical problems and deal with a variety of variables. Ability to follow established standards and guidelines. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.
  • Computer skills to include word processing, familiarity with Excel spreadsheets, file management and e-mail. Demonstrated skills in outpatient and inpatient physician coding. Ability to work independently.
Job Type
Regular
Geographic Region
Midcoast
Industry
Healthcare

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