Coding Specialist

Working Conditions

Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure

Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person

Hazards:
May include, but not limited to, physical and ergonomic hazards.

Equipment:
General office equipment

Travel:
May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.

Work Location:

Work from home

$28.23 - $34.50

Bonus - SIP Target, 5% Annual

Current Care Oregon Employees:
Please use the internal Workday site to submit an application for this job.

• Responsible for converting healthcare services from medical charts by reviewing and entering medical codes.
• Conduct clinical staff guidance in documentation, coding, and billing to support organizational revenue and operational goals. Provide individual and group education on an ongoing basis.
• Provide coding and billing technical assistance to providers, as needed.
• Collaborate with third party firms for development of coding practices.
• Monitor and maintain regular periodic chart audits; provide follow-up chart education as needed.
• Participate in work groups and teams to plan and implement new coding and billing initiatives; design and deliver training to clinical groups to support adoption of new services and procedures as needed.
• Provide ongoing chart documentation, coding and billing education to various Care Oregon departments and other stakeholders.
• Participate in rate setting initiatives and updates to provider fee schedules.
• Collaborate with Contracting and other stakeholders to verify adequate and proper payment and coding terms in statements of work and contracts.
• Verify on proper ICD, CPT, and/or HCPC code usage.
• Collaborate with manager to implement operational and organizational initiatives to enhance billing, coding and documentation guidance.
• Coordinate and cross train billing functions and responsibilities.

• Minimum 2 years’ experience in evaluation and management services chart auditing within healthcare or behavioral health
• Experience with EHR systems and coding and billing systems
• AAPC or AHIMA certification

• Experience leading group educational presentations and teaching to medical professionals

• Extensive knowledge of diagnosis and procedure coding conventions as defined by CMS and AMA
• Thorough working knowledge of medical and behavioral health billing practices

• Ability to read and comprehend medical terminology and medical chart notes
• Proficiency working with electronic health record systems
• Strong computer skills, including ability to learn new systems and processes
• Strong working knowledge of Microsoft office products (PowerPoint, Excel, Word)
• Strong written and verbal communication skills
• Ability to effectively teach and coach adult learners
• Ability to organize information in a meaningful way
• Strong attention to detail and problem-solving skills
• Ability to work autonomously and with others, including a high degree of initiative
• Ability to prioritize tasks, problem solve, stay focused and be organized
• Ability to work well under pressure to meet deadlines
• Ability to use good judgment and discretion to perform job responsibilities
• Ability to adhere to organizational standards, policies and procedures
• Ability to work effectively with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day

We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date.…