Four Seasons Remote Hotel Jobs (NOW HIRING)

Job Code: Billing

Reports To: Director of Billing and Access

Status: Non-Exempt

FT, PT, PRN: PRN

Shift: Refer to offer letter

Location: Flat Rock OR Remote

Position Summary:

The Coding Specialist is responsible for the correct application of ICD-10-CM, HCPCS, and CPT codes to facilitate reimbursement and reporting requirements. The Coding Specialist will be a team player that can collaborate with multiple departments regarding the status of coding. The Coding Specialist will identify opportunities for improvement and work with appropriate staff to ensure that documentation is compliant with coding guidelines. The Coding Specialist will identify trends in data and communicate potential training needs to professional development staff and leadership. Assignment of diagnostic and/or procedure codes will require supporting medical and clinical documentation found within the patient's record or referred documents. Documents used in the review may include, but are not limited to the comprehensive assessment, physician narratives, medication profile, and referral source data.

Essential Duties & Responsibilities:

• Enter and reconcile all Medications required for Medicare claim reporting
• Work to achieve performance goals, pursue progress toward individual development plan (IDP) and demonstrate Four Seasons values and competencies
• Ability to perform detailed work with accuracy, develop rapport with others, function as a team member, work independently with a minimum of supervision, and demonstrate excellent interpersonal and organizational skills

• Identify, compile, abstract and code patient data, using standard classification systems
• Resolve/clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with physicians, billing, palliative, and clinical informatics to get additional information
• Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information
• Identifies opportunities for improvement when reviewing clinical documentation, for prospective, retrospective and concurrent reviews
• Notes and records deficiencies/errors and coordinates with professional staff as needed on a case by case basis to ensure that necessary documentation is corrected and/or provided.
• Compile and maintain patients' medical records to document condition and treatment and to provide data for third party payers, research, or other improvement efforts
• Enters data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment EMR
• Identifies and communicates trends and staff training needs to the Professional Development staff
• Releases information to persons and agencies according to regulations
• Protect the security of medical records to ensure that confidentiality is maintained

Knowledge, Skills & Abilities:

• Knowledge of HIPAA privacy policies, informed consent, and other regulations
• Knowledge of regulations governing professional area
• Excellent written, oral and collaborative communication skills
• Excellent interpersonal skills
• Excellent attention to detail and accuracy
• Proficient in MS Office: Outlook, Excel & Word
• Ability to work independently with minimum supervision

• Ability to work under pressure to meet deadlines
• Ability to take initiative and utilize innovative techniques
• Ability to interact with various departments throughout the organization
• Ability to participate as a team player
• Ability to plan, prioritize and coordinate daily tasks
• Ability to bend, stoop, lift up to 35 pounds, and sit for long periods of time

Minimum Qualifications:

• Education: Associate degree in healthcare, business, or a related field or equivalent experience

Preferred:

• RN

Experience:

• 2-3 years of work experience in the administrative, business or healthcare field

Licensures & Certifications: (if applicable)

• Certified Coder in ICD-9 and ICD-10 (in process is acceptable)
• Valid driver's license and proof of automobile insurance

Summary of Physical Requirements:

• Walking, sitting, reaching, bending flexion/extension of arms/wrist
• Carrying, hand dexterity to include gripping/grasping
• Requires frequent writing

Intent & Function:

All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the duties of the position. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Additional functions and requirements may be assigned as deemed appropriate.

In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals.