Job type full-time
Full job description
Trinity health pace is seeking a coding specialist for the corporate office in livonia, michigan, however this is a remote positionThe program of all-inclusive care for the elderly (pace) model is centered on the belief that it is better for the well-being of seniors with chronic care needs and their families to be served in the community whenever possible.
Pace serves individuals who are age 55 or older, certified by their state to need nursing home care, able to live safely in the community at the time of enrollment, and live in a pace service area.while all pace participants must be certified to need nursing home care to enroll in pace, only about 7 percent of pace participants nationally reside in a nursing homeIf a pace enrollee needs nursing home care, the pace program pays for it and continues to coordinatethe enrollee`scareWe encourage fellowship and independence while serving seniors and their families with dignity and respect.
Trinity health pace provides a competitive compensation and benefit package that complements this opportunity for personal growth and professional advancementThis position reports to the certified medical coding manager.
The primary purpose of the coding specialist is to assign the appropriate diagnostic and procedural (if applicable) icd/cpt codes to individual participant health information for data retrieval, analysis and claims processingThe coding specialist will abstract data from medical record within specified time frames.
General responsibilities will include:
Per standard process reviews and evaluates participant medical records to identify diagnoses and procedures and accurately assigns and sequences icd and cpt codesAbstracts and validates informationSeeks out validating information (queries physicians, clinicians) when provided information is inadequate, ambiguous or unclear for coding purposes.
Assures that accurate, complete client care documentation is completed timely, in preparation for billing (raps, charge tickets, etc)Ensures staff are aware of and respond to alerts/queries/questions by computer, voice mail and other meansProvides feedback to clinicians and others that support completion of life plan within site timelines.
Monitors and informs manager of records that are not completed timelyMonitors, investigates and takes appropriate action for records that are not coded, billed, or rejected.
Keeps current in area of expertise and assures that standards and practices within the site reflect best practice in coding and life plan accuracyAttends educational opportunities to enhance knowledge in coding and reimbursement systems and obtains/maintains certification from ahima or aapc to validate coding skills.
Candidates will have:
Formal training in icd and cpt coding or previous work experience utilizing icd and cpt coding principles is required.
Licensure/certification: certified coding specialist through ahima or certified professional coder through aapc is required.
Two years` experience in a risk adjustment coding environment or another healthcare institution input/output coding preferred.
Demonstrates knowledge of medical terminology, human anatomy and physiology, and diseases processes.
Must possess strong analytical and organizational skillsMust have the ability to meet strict deadlines with a high level of accuracy, ability to prioritize multiple tasks in a highly automated setting and possess strong interpersonal skillsMust be able to concentrate in depth, continuously and manipulate detail to arrive at summary data with application to th pace necessary
Candidates should also possess the ability to work as part of a team.
Position may require up to 10% travel.
Trinity health`s commitment to diversity and inclusion
Trinity health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 statesBecause we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomesWe also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity health`s dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Posted 30+ days ago