Charge Entry Coding Specialist, Remote

Address

250 East Liberty St. Louisville, KY 40202

First Shift (United States of America)

Job Description:

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

This employee is responsible for reviewing and evaluating medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and HCPCS/CPT codes for services provided at the Brown Cancer Center (BCC) including Bone Marrow Transplant (BMT) and infusions and injections (I&I) and clinic charges. The specialist performs code validation across multiple entities and applies the appropriate coding guidelines and criteria for code and modifier selections.

The specialist adheres to the Official CMS Coding Guidelines and Facility Coding Compliance policies and procedures for the assignment of complete, accurate, timely, and consistent codes for charge entry. The specialist supports the facility’s overall operational goals by efficiently and effectively providing account data needed for accurate and timely Revenue Cycle processing and billing.

• Uses ICD-10-CM and/or HCPCS/CPT codes to assign, validate, and/or work pre-bill coding edits for the following patient types:
  Medical Oncology (Med-ONC), Radiation Oncology (Rad-ONC), Bone Marrow Transplant (BMT), Infusion & Injections, and multispecialty hospital-based outpatient clinics (Oncology, HepC, MS, Pulmonary, etc.)
• Works pre-bill edits daily to resolve issues related to coding assignments, charge errors, and missed modifiers
• Maintains or exceeds established productivity standard (minimum of 75 pre-bill edits cleared daily or a combination of daily charge capture and pre-bill edits)
• Ensures that all assigned charges are captured timely and consistently within the 3-day charge goal
• Performs coding audits for BCC coders upon request and as needed to reduce coding error trends
• Utilizes the complete medical record documentation in code assignment, validation, and/or editing of codes

• Works collaboratively and supports efforts of team members
• Ensures adherence to the official coding guidelines, infusion and injection coding guidelines, ethical coding standards as well as HIM coding compliance policies and procedures
• Meets all educational requirements and attend required continuing education workshops, webinars assigned by manager for coding compliance
• Maintains compliance with all company policies, procedures and standards of conduct
• Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
• Performs other duties as assigned

• High school diploma or GED/Equivalent (required)
• Completion of a Certified Coding Program (required)

• Three (3) years outpatient coding experience (required)
• Three (3) years of prior oncology coding experience (preferred)
• Prior billing to include government and commercial payer experience (preferred)
• Prior experience with 3M Coding and Allscripts STAR and Tru Bridge billing systems (preferred)

• Nationally accepted Certified Coding Credentials (RHIT, RHIA, CPC, CPC-H, CCA, CCS, CCS-P or CHONC) (required)

• Working knowledge of medical terminology, anatomy, and physiology
• Demonstrates a working knowledge of Infusion & Injections and Oncology Billing
• Working knowledge of Official CMS Coding Rules and Guidelines, ethical coding standards as well as HIM coding compliance policies and procedures
• Ability to complete project assignments in a timely manner and identify trends in charge reconciliation data

• Must be able to communicate effectively in both verbal and written formats

• Ability to break down problems or tasks; using prior knowledge and…