
POSITION SUMMARY:
Conducts reviews and provides recommended corrections of billed services as it relates to clinical documentation for the VMG enterprise. Assists in the reviews and responses to payor and governmental audits of billed services. Assists the CBO in replying to payor denials and patient inquiries as it relates to services billed. Reviews and researches new coding guidelines and codes. Assists the staff of the VHS corporate compliance.
EDUCATION:
CPC (AAPC) required. Degree in Heath Services Management, Business or other related field preferred. Extensive knowledge of ICD-10 CM and CPT coding principles and guidelines required. Extensive knowledge of reimbursement systems required.
EXPERIENCE:
Eight to ten years' experience (college degree can be substituted for years of experience) and expertise in ICD-10 CM Coding.
SPECIAL SKILLS:
Medical Terminology, ICD-10 CM and CPT-4 Coding, Ability to relate to people and work closely with physicians and other VMG staff. Computer skills and knowledge of practice management software.
Job Location
Kraft CenterShift
Day (United States of America)Benefits
EEO Statement
Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.
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