Coding and Documentation Review Specialist

Coding and Documentation Review Specialist

Join to apply for the Coding and Documentation Review Specialist role at Catholic Health
.

Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time.

We are committed to caring for Long Island and are proud to be named Long Island’s Top Workplace.

Responsible for the review of provider documentation and coding charge review errors as well as Evaluation and Management coding. Ensure the coding is appropriate prior to releasing claims to be billed. Identify trends and opportunities for improved documentation and billing and communicate those trends with the Coding Educators and providers. Must be fluent with the Evaluation and Management guidelines, ICD
10 coding guidelines for outpatient, inpatient, observation coding including but not limited to all office‑based services, procedural coding and hospital rounding.

• Review documentation and coding for both inpatient and outpatient (hospital and office) professional services prior to the release of charges.
• Query the provider of items in the chart that need to be reviewed or corrected as it relates to the coding selected.
• Monitor regulatory changes as they apply to billing and coding in the inpatient and outpatient setting.
• Serve as a resource to the practices/departments for data mining and coding to ensure reimbursement accuracy.
• Identify coding issues related to billing denials; collaborate with the Coding Educator and Revenue Integrity as needed to assist with the preparation of training materials and examples to prevent future coding/billing issues. Accurately code diagnosis and documentation of medical conditions of patients.
• Maintain department productivity standards and accuracy rates.

Minimum of High School diploma or equivalent, along with accepted coding certification(s): CPC, RHIT, CCS.

• Interact positively with physicians, nurses and other team care members.
• Demonstrate personal initiative, team spirit, and service orientation while maintaining a positive, caring, professional attitude.
• Excellent research skills as it relates to medical specialties and documentation and coding requirements.
• Dependable, motivated, professional and able to work well independently or with a group.
• Medical terminology, ICD
  10 proficiency, CPT proficiency.
• Highly organized and pays close attention to detail.
• Strong written and verbal abilities.

• Minimum of 1 year coding experience.
• 1–2 years practice operations/revenue cycle experience.
• Knowledgeable in electronic health record systems.
• Proficiency in Microsoft Word and Excel.

USD $66,000.00 – USD $72,000.00 /Yr. This range is an estimate and may vary based on qualifications, skills, competencies and experience. It does not include bonuses, incentives, or other compensation forms, nor the value of benefits. Catholic Health offers a generous benefits package, tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

• Not Applicable

• Full‑time

• Administrative
• Hospitals and Health Care