Steward Health Care System LLC ("Steward") is a fully integrated, physician-led national health care services organization committed to providing the highest quality of care in the most cost-efficient manner in the communities where our patients live. Steward - the largest privately held health care company in the U.S. - owns and operates 35 community hospitals across nine states, serves over 1,000 distinct communities and employs approximately 40,000 health care professionals. In addition to our hospitals, the Steward provider network includes 4,800 providers, 25 urgent care centers, 87 preferred skilled nursing facilities, substantial behavioral health offerings, over 7,300 hospital beds under management, and approximately 1.5 million full risk covered lives through the company's managed care and health insurance services.
Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.
The Coder position is responsible for assigning ICD, CPT and HCPCS codes to all relevant physician claims, ensuring E&M levels are accurate and confirming there is appropriate documentation. Steward Medical Group Coders are part of a national team, with each Coder assigned to a specific geographic area or specialty.
• Communicate with providers and practices to ensure all encounter forms are current.
• Disseminate information regarding new codes and/or coding policies either by payer or through regulations.
• Create and maintain department processes and controls according to Professional Coding Standards, CMS Standards, HIPAA, OIG, and the State of Massachusetts as well as national payor coding guidelines as they pertain to professional coding and reimbursement.
• Educate providers and clinical staff through review and education of documentation.
• Champion coding compliance, through Revenue Cycle team utilization of recognized professional references, and adherence to established coding convention and regulation.
• Participate in departmental and physician network performance improvement initiatives.
• Other duties as assigned.
• Associate's degree in Health Information Technology or related business degree or equivalent amount of education and experience.
• Current certification as a CPC or CCS-P.
• Computer literacy of medical information system, records management software, encoders.
• Demonstrated coding (ICD-9-CM and CPT) expertise.
• Understanding of third party reimbursement rules and regulations.
• Experience with encoder software.