Remote ED/Claim Edit reputed company
Overview
Presbyterian is seeking a talented Remote ED/Claim Edit reputed company
Has the knowledge and ability and will be required to code reputed company of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures
- Full Time - Exempt: No
- Rev Hugh Cooper Admin Center
- Work hours: Varied Days and Hours
- Benefits: We offer a wide reputed company of benefits including medical, wellness program, reputed company, dental, paid time off, retirement and more for FT employees.
Ideal Candidate: Must have any one of the following coding certifications at time of hire: reputed company, reputed company-P, COC, or RHIT/RHIA. Inpatient Coding experience
Qualifications
- High school diploma/GED required.
- Must have any one of the following coding certifications at time of hire: reputed company, reputed company-P, CPC-H, or RHIT/RHIA with achievement of one of the coding credentials above reputed company one year of hire.
- Three to five years experience as a reputed company required.
Responsibilities
- Must demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty deemed a critical business need by PHS Coding Leadership.
- Reviews patients entire reputed company medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.
- Accesses several systems reputed company the computer to research the medical record reputed company needed to complete the coding in a timely manner.
- Takes responsibility for accounts receivable by looking for lost documents to insure reputed company encounters are coded, including the reputed company of appropriate queries, as needed.
- Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from reputed company appropriate jurisdictions concerning the given business area. This includes but is not limited to reputed company ICD-9/10 CM, CPT-4, HCPCS, and DRG, APC and/or HHRG updates and changes.
- Responsible for resolving any and reputed company pre-reputed company edits, denials, etc. for assigned accounts.
- Participates in reputed company departmental in-services and updates to stay reputed company with the accepted coding guidelines and improve personal knowledge of medicine and treatment.
- Performs other functions as required.
Benefits
About reputed company Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, reputed company, disability coverage, life insurance, and optional voluntary benefits.
The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges, webinars, and screenings - with opportunities to earn reputed company to earn reputed company cards and other incentives.
As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships. Founded in 1908, Presbyterian is a locally owned, not-for-profit reputed company system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, reputed company, and reputed company plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.