Job Description

Steward Health CareSystem LLC ("Steward") is a fully integrated, physician-led nationalhealth care services organization committed to providing the highestquality of care in the most cost-efficient manner in the communities where outpatents live.  Steward - the largest privately held health care company inthe U.S. - owns and operations 35 community hospitals across nine states,serves over 1,000 distinct communities and employs approximately 40,000 healthcare professionals.  In addition to our hospitals, the Steward providernetwork includes 4,800 providers, 25 urgent care centers, 87 preferred skillednursing facilities, substantial behavioral health offerings, over 7,300hospital beds under management, and approximately 1.5 million full risk coveredlies through the company's managed care and healthinsurance services.  The total number of paneled lives withinSteward's integrated care network is projected to reach 3 million in 2018.

 

Steward Medical Group(SMG), Inc. is Steward's multi-specialty group practice with over 4,500employees including over 1,800 physicians and advanced practitioners. SMGoperates approximately 450 practice locations throughout Massachusetts,Southern New Hampshire, Rhode Island, New Jersey, Pennsylvania, Ohio, Florida,Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 millionpatient encounters per year.


The role of a Coder II is to provide coding support to Steward Clinics in the assignment of ICD-10-CM diagnosis, CPT-4 procedure codes and HCPCs codes. Coders II's ensure that maximum reimbursement is achieved and a valid database is available for research, reporting, quality and improvement activities. 

Key Responsibilities
Receives and reviews charge documents for accuracy
Reports on missing, incomplete, or inconsistent documentation to appropriate personnel
Educates providers and clinic staff of proper fee ticket completion and assignment of ICD-10-CM and HCPCS codes
Acts as a resource for Practice Managers, Physicians and CBO regarding insurance denials resolution and coding questions
Performs accurate charge entry in a timely manner
Accepts and posts co-pays, and balances charge posting
Keeps manager informed of the status of unbilled charges
Maintains a coding accuracy of 95%
Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
Mentors Coder I team members regarding accuracy and required procedures
Assists with research for complex billing and coding issues
Maintains coding certification and attends in-service training as required
Completes assigned training and education
Performs other duties as determined by the Coding Manager


Qualifications

Minimum Requirements

High School diploma or GED equivalent

Current CPC certification (certifications to be completed within 6 months of hire will be accepted)

Three or more years experience in E&M coding

Three or more years experience in a specialty other than Primary Care

Must be willing to travel to designated clinics in Davis and Salt Lake counties

Demonstrated ability to communicate effectively on the phone, in writing and via email

Ability to exercise discretion on sensitive and confidential matters

Demonstrated computer skills with data entry, coding and Electronic Medical Record software

Ability to apply mathematical concepts and calculations

Ability to interpret policies and procedures and communicate effectively

Ability to show initiative, make decisions and exercise good judgment in a complex and rapidly changing environment

Ability to work in a team environment

Institutional accreditation and degree obtainment will be verified upon hire

 

Preferred Qualifications:

One or more years of demonstrated customer service experience

Current credentials for a medical coding specialty

Demonstrated experience with NextGen EMR software

Thorough understanding of medical terminology, anatomy and physiology

 

Physical Requirements
Standing,sitting, walking, speaking, listening, bending, reaching, pushing, pulling,lifting, grasping and manipulating tools, typing, using peripheral computertools

Please Note
All positions subject to close without notice
Must be willing to float to other locations

EqualOpportunity Employer Minorities/Women/Veterans/Disabled

Application Instructions

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