Coding Consultant-Mental Health and Pediatrics (Roanoke, VA, US, 24011)
Company: Carilion Clinic
Location: Roanoke
Posted on: May 28, 2023
Job Description:
How You'll Help Transform Healthcare: Welcome to a promising
future with this unique career opportunituy. At Carilion Clinic,
our team provides accurate medical record documentation in a
forward-thinking environment. You will thrive through extensive
training, supportive leaders and potential for advancement.
Carilion offers comprehensive benefits, paid time off, and tuition
options. Join a team where your skills and ideas will make a
difference in the health of our patients and the communities we
live in. The Coding Consultant consults with physicians and their
practices on Coding protocols and issues to ensure coding reflects
all services rendered to ensure maximum reimbursement. Provides
Coding education to physicians and staff. - -Performs audit reviews
of practice coding/billing process and/or performs concurrent
coding of specific practices. Identifies denial trends and corrects
issues to achieve minimal practice denials. The primary job
responsibilities of the coding consultant include, but are not
limited to, the following: -
- Consults with physicians to identify ICD-10-CM, CPT, HCPCS
codes and how and when to use them. Ensures that coding reflects
all services rendered for maximum reimbursement. Helps in the
process of verifying all ICD-10, CPT, and HCPCS codes to all
procedures and sequences codes according to coding guidelines.
Establishes guidelines for which codes can be changed by the staff
without specific physician approval.
- Periodically assesses coding needs and coding training and
information needs. Provides coding information, seminars and/or
workshops to educate physicians and staff. Provides information on
coding changes and insurance coding updates on a regular
basis.
- Keeps up to date with current coding guidelines, changes and
billing procedures by reading and attending appropriate seminars.
Obtains all documents and other resources needed for coding
procedures within the physician practices. Works with management
and others to update encounter forms and coding tools utilized in
the practices.
- Acts as a Coding information expert and resource to answer
questions and advise physicians and others.
- Works with other Coding Consultants and management to establish
internal Coding quality control and audit processes. Performs
random and regular reviews of different parts of the billing
process and specific types of billing, such as pre-bill E/M
reviews, concurrent coding of surgical procedures, payor requested
audits, RAC audit reviews, and retrieving documentation for 3rd
party payors by ROI process with feedback to the physicians and
others. Reviews denials for the practices to trend and correct
issues. Will be held accountable for the reduction of the practices
denials. This position has a primary focus on providing coding
support and education to the sites and the providers. -In this
position, the ideal candidate will be able to work well
independently and have excellent communication skills. -The Coding
Consultant position will perform coding reviews for providers as
well as support internal coding staff with their questions. The
ideal candidate would have prior coding experience in
Psych/Behavioral Health and Pediatrics but we are willing to train
the right candidate if needed. -This position requires a CPC, we
are not able to accept CPC-A for this position. HYBRID POSITION-
On-Site in Roanoke, VA at least two times per week This position
will predominately work M-F with some OT as needed What We Require:
Education: High School Degree required. College degree preferred. -
Medical terminology and Physiology & Anatomy required. Experience:
Three years coding experience required. - Physician's office
experience preferred. Must have applicable experience in building
relationships and interacting with physicians. Licensure,
certification, and/or registration: CPC or CCS-P required. Other
Minimum Qualifications: Effective oral and written communication
skills. Must be a team player with intiative, organizational
skills, analytical abilities, detail oriented and have the ability
to work independently. Maintains working knowledge of Epic, Coding
Software and any other software that are needed to perform job
duties. - Must be proficient with Word, Excel, Power Point and
researching the web for coding and billing information. About
Carilion This is Carilion Clinic ... An organization where
innovation happens, collaboration is expected and ideas are valued.
A not-for-profit, mission-driven health system built on progress
and partnerships. A courageous team that is always learning, never
discouraged and forever curious. Headquartered in Roanoke, Va., you
will find a robust system of award winning hospitals, Level 1 and 3
trauma centers, Level 3 NICU, Institute of Orthopedics and
Neurosciences, multi-specialty physician practices, and The
Virginia Tech Carilion School of Medicine and Research Institute.
Carilion is where you can make your own path, make new discoveries
and, most importantly, make a difference. Here, in a place where
the air is clean, people are kind and life is good. Make your
tomorrow with us. Requisition Number: 140438 - Employment Status:
Full time - Location: CASB - Carilion Administrative Services
Building - Shift: Day - Shift Details: This position will
predominately work M-F with some OT as needed Recruiter Email:
kagonce@carilionclinic.org For more information, contact the HR
Service Center at 1-800-599-2537. Equal Opportunity Employer
Minorities/Females/Protected Veterans/Individuals with
Disabilities/Sexual Orientation/Gender Identity Carilion Clinic is
a drug-free workplace.
Keywords: Carilion Clinic, Roanoke , Coding Consultant-Mental Health and Pediatrics (Roanoke, VA, US, 24011), Other , Roanoke, Virginia
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