Job type full-time
Full job description
Department overview: we are putting together a new team of hcc coders to work with our community physicians to ultimately improve the quality of care we provide to our patientsIn addition to retrospective hcc coding for both cms & hhs hcc models, the team will be responsible for e&m leveling audits, annual wellness visit audits and helping to educate our small community providers on best practices for improving their documentation and codingIf you want to help transform healthcare and grow in your career in the comfort of your own home (this is a telework position), this is your opportunity! ohsu has outstanding benefits, including generous vacation, sick leave and paid holidays in addition to healthy retirement matching and pension plan options.
This coding position is for hcc coding, provides support to the hcc coding team for coding of outpatient physician’s feesThis position requires experience in risk adjustment coding and requires certification with aapc or ahimaFunction/duties of position: this is a 100% telecommute positionIt also includes a terrific benefits packageHighlights include:
Generous vacation, sick leave, and paid holidays
Great healthcare/prescription/dental/vision plan options, some with negligible cost to the employee
Outstanding retirement plans including pension plan options
Completes reviews of patient records to evaluate appropriate hcc diagnoses capture, primarily doing post-billing and/or pre-billing reviews for identification of coding errors associated with hcc`s.
Verifies accuracy, completeness, and appropriateness of hcc diagnosis codes based on acceptable provider documentation in medical records and in accordance with coding guidelines.
Actively participates in hcc coding team discussions around innovations and improvements to hcc operational flowsWill be called upon to help contribute to and sometimes lead work flow process and outcome evaluation discussions and associated tasks.
May meet with providers as needed to address any ongoing areas of concern related to documentation, continuing education as it related to documentation or coding.
Conducts follow up reviews after education has been established.
Provide feedback and/or education for any issues discovered during an hcc review or audit.
Review clinical documentation of services and any other source of documentation available to ensure compliance with federal, state, and/or county laws and regulations related to coding and documentation guidelines for risk adjustment.
Verify correct icd-10-cm codes for professional charges, which could include e&m services and diagnostic services.
Ability to maintain supportive and open communication with hcc coding team regarding coding issues and priority coding responsibilities assigned.
Acheives and maintains coding productivity, quality accuracy and quality completeness metrics set by hcc coding team leadershipMetrics may vary based upon project.
Identifies and documents coding observations.
Provides feedback to hcc coding team leadership to futher enhance quality and/or provider education.
Serve as a resource to hcc coding team leadership, coding team and ohsu employed physicians hcc coding team for a broad range of coding policy and procedure issues.
Attends hcc team meetings participating in quality improvement efforts around hcc coding and billing, and helping us to develop educational materials and messaging for providers based on identified gaps in knowledge.
In collaboration with hcc coding team develop and disseminate written procedures to facilitate and improve biling and documentation processes.
In collaboration with hcc coding team leadership, make recommendations and implement remedial actions for problems.
Monitor coding information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of coding practice changes in icd-10-cm.
Participate in monthly hcc education sessions, kaizen events, maintain ceus, stay informed of current trends in coding.
Must maintain active coding credentials.
Other duties as assigned required qualifications:
Accountability: ability to establish mutual agreements that result in clear responsibility, taking personal action to accomplish an agreed result and assuming personal responsibility for the results of behavior and actions.
Integrity: actions are consistent with ethical valuesHonest in communication and actions.
Diversity: honors the uniqueness of each individual, challenges stereotypes and promotes sensitivity and inclusionFunctions effectively and respectfully within the context of varying cultural beliefs, behaviors and backgrounds.
Respect: demonstrates consideration and appreciation for colleagues, clients and customers.
Service orientation: seeks opportunities to improve the work and work environment to better meet the needs of internal and external customers.
Teamwork & collaboration: works cooperatively and productively with others to achieve shared goals.
Communication: demonstrates the ability to convey thoughts and ideas as well as understand perspective of others.
Inclusion, collaboration and teamwork: every person mattersWe benefit from the rich variety of ideas, skills and perspectives that emerge when we work togetherOur collaboration fuels innovation, better solutions to complex problems, and a sense of communityCultivating a climate of inclusion and respect enables us to partner with those who can help ohsu achieve its vision.
Organizational perspective: we are all connectedWhether our role is caring for patients, inspiring students, advancing scientific knowledge, or supporting those endeavors, each person’s work impacts another’sWhen we understand how our actions and decisions affect the whole, we can better align the needs of our workgroup with the best interests of ohsuWe have a common purpose that guides what we do and why.
Performance results: we work hard to make great things happenWe hold ourselves and our colleagues to high standards of performance that are focused on resultsWe pursue excellence by giving and receiving feedback openly and directlyWe continually seek to improve ourselves and our work by setting goals, measuring outcomes and developing our knowledge and skillsWe exceed expectations in pursuit of our vision.
Personal effectiveness: we are strong in characterAs individuals, we value integrity and inspire trustWe meet obstacles with calm resolve, and can adapt quickly to changeWe continue to move forward, even when the way is unclearEach of us aspires to be our best self, accountable for the work we do and dedicated to the purpose of ohsu.
High school diploma or ged.
Prior hcc coding experience
Minimum two years of professional services experience reviewing, abstracting, and coding medical records using icd-10-cm and cpt coding.
Knowledge of cpt, icd-10-cm, hcpcs, federal register, federal and state insurance billing laws and mandates.
Knowledge of opps guidelines, outpatient coding guidelines, cci edits, familiarity with medical necessity guidelines, ncd and lcd requirements.
Certification in one of the following (as indicated by the position description): current coding certification from aapc or ahima - certified professional coder (cpc) or registered health information administrator (rhia), registered health information technician (rhit), certified coding specialist (ccs)
Active aapc or ahima membership
Code of conduct
Respect in the workplace
Applicable policies, procedures and agreements related to position, department or ohsu as a whole
Must be able to perform the essential functions of the position with or without accommodation
Some college course
Experience with cms and hhs data and risk adjustment processes.
Experience using an emr.
Some college course work or education in classes related to anatomy/physiology, medical terminology, cpt and icd-10-cm coding.
Proficiency with word processing and excel spreadsheets.
Strong technical skills
Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc.
Ability to work independently and as a team player.
Prefer crc certification
Additional details: apply here onlinePlease be sure to provide a cover letter and current resumeProof of license may required at time of interviewMonday through friday work schedule, day time hour’s variable to accommodate meeting schedules and availability to providersPosition is field-based with the employee working remotely from a home-office location that meets the criteria established by ohsu for teleworkingA portion of the position may require time in the clinic practice setting and in the community setting to fulfill the essential functions of the position; interaction extensively by phone or in person with providers, internal and external customers; minimal travel within the tri-county areaAll are welcome: oregon health & science university values a diverse and culturally competent workforceWe are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran statusIndividuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to applyTo request reasonable accommodation contact the affirmative action and equal opportunity department at 503-494-5148 or firstname.lastname@example.org.
As an organization devoted to the health and well-being of people in oregon and beyond, ohsu requires its employees to be fully vaccinated against covid-19.