Coding Senior Specialist​/Remote

Overview

Resolve complex accounts, acting as a subject matter resource for the functional area, educating team members on account resolution workflows, and assisting the supervisor with escalated issues. The CBO Coding Senior Specialist confirms the accuracy and completeness of coding to ensure compliant claims are sent to payers. The CBO Coding Senior Specialist works independently to resolve complex diagnostic accounts. The CBO Coding Senior Specialist helps drive change by identifying areas where performance improvement is needed (for example;

day-to-day workflow, education, process improvements, patient satisfaction). The CBO Coding Senior Specialist performs quality validation of information as well as continuous education and opportunity feedback to a multi-disciplinary team with the objective of sending out clean quality claims and preventing denials.

• High school diploma or G.E.D. equivalent required.
• Minimum of five (5) years coding experience required.
• Minimum of five (5) years specialty coding required.
• Minimum of two (2) years of revenue cycle experience in a large healthcare system required.
• Additional specialty coding certification or 10 years coding experience required.
• One to two (1-2) years college or additional course work in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.
• Must have thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
• Strong organizational and time management skills required to effectively prioritize work.
• Ability to communicate effectively with colleagues, supervisors, and manager.
• Ability to work independently. Ability to prepare for and engage in team meetings and activities.
• Proficient in medical terminology.
• Proficient in ICD-10 CM, CPT and HCPCS coding.
• Able to recognize patterns and trends and escalate to supervisors to support root-cause analysis.
• Able to coach other team members with challenging accounts.
• Supports the standards set forth in the HFHS Code of Conduct by adhering to legal and ethical guidelines.

• Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required.

• Organization:
  Corporate Services
• Department: CBO Coding PB
• Shift: Day Job
• Union Code:
  Not Applicable