Job Description

Location: Steward Health Care
Posted Date: 3/9/2023

About Steward Health Care
Nearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.
As the country’s largest physician-led, tax paying, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.
Steward is among the nation’s largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.
Based in Dallas, Steward currently operates 39 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, Texas, and Utah.
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Conducts outpatient coding quality audits to validate code assignment is supported by clinical documentation in the medical record. Highly proficient in the proper assignment of ICD-10 CM, ICD PCS, CPT, HCPCS, and modifier codes.

(Use bullets for specific responsibilities)
• Performs coding audits of a wide variety of complex outpatient services including outpatient surgical, observation, emergency department, diagnostic outpatient, clinic, and series accounts. Also prefer experience in interventional radiology, E&M leveling and coding of injections and infusions.
• Provides written, detailed rationale and supporting evidence for recommendations on audit findings.
• Delivers educational feedback to coding staff regarding audit findings.
• Provides guidance to coding staff and management in identifying and resolving coding issues.
• Identifies documentation improvement opportunities that impact coding accuracy.
• Reviews and research billing edits.
• Ability to interpret Medicare and NCCI guidelines, National and Local Coverage Determinations to support coding compliance.
• Maintains a minimum of 95% accuracy on all coding audits.
• Maintains productivity standard for outpatient coding reviews, dependent upon type of review.
o Emergency Department – 8 per hour
o Same Day Surgery – 4 per hour
o Observation – 4 per hour
o Cardiac Cath/IVR – 3 per hour
o Ancillary – 20 per hour
o Oncology Infusions – 6 per hour
o Wound Care – 5 per hour
• Performs other duties as assigned including training/mentoring of new staff and performing research related to special projects

(Examples: Ability to work independently and take initiative; Good judgment and problem solving skills; Communication skills; Interpersonal and organizational skills; Level of confidentiality)
• Comprehensive understanding of coding guidelines, CCI edits, Coding Clinics and CPT assistant, along with ability to employ coding resources to audit findings.
• Excellent interpersonal verbal and written communication skills to accurately relay information to internal and external customers.
• Excellent organizational skills with ability to trend and track audit findings effectively.
• Excellent problem-solving skills, the ability to work independently, and to perform under pressure in a teamwork manner with diplomacy and tact.
• Proficient computer and technical skills, along with experience using MS Word, Excel and PowerPoint.
• Ability to meet assigned deadlines.

I. Education: Associates degree in Health Information (RHIT), or associates degree in applicable healthcare field.
II. Experience 3-5 years progressive coding experience in acute care hospital setting, including auditing
III. Certification/Licensure: AHIMA or AAPC certification required, such as RHIA, RHIT, CCS, CIRCC, CPC, COC
IV. Software/Hardware: Meditech and 3M 360 experience required
V. Other: This is a remote position and must live within a Steward hiring state.
VI. Travel: Expected travel is up to 10%. Education and/or company growth.

Steward Health Care is proud to be a minority, physician owned organization. Diversity, equity, inclusion and belonging are at the foundation of the care we provide, the community services we support and all our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.

Application Instructions

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