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Coding and Compliance Specialist for National Healthcare Consulting Firm

Ancillary Care Solutions, seeks an individual with strong coding, compliance and billing expertise in outpatient physical, occupational and hand therapy. This person will be responsible for providing regulatory updates, billing, coding and compliance support to the clinical team and to clients located throughout the country. Responsibilities will include:-Research of complex coding issues -Maintain a strong knowledge base regarding policies and guidelines from CMS and other payers-Provide education and training to the company clinical team in related areas -Evaluate medical record documentation against coding and billing compliance standards and provide detailed reports of findings-Develop and implement coding improvement plans-Serve as a resource to company clinical team for all billing/coding/compliance and regulatory information-Consult with providers and business office staff of company and clients to advise on coding issuesExperience:-A minimum of 5 years experience in coding and billing, with at least 3 years of that experience in a PT/OT outpatient clinic setting-Must have experience with chart auditing, performance improvement plans, education and training-Knowledge of Medicare compliance issues and healthcare coding, billing and reimbursement in a fee-for-service environment-Extensive knowledge of healthcare billing and reimbursement -National experience is a plus Qualities:-Must demonstrate exceptional time management, communication, presentation, and organizational skills. -Computer proficiency in a Windows environment, including MS Word, PowerPoint and ExcelPosition:This position is part timeFlexible hoursMinimal travel required.

This position is responsible for managing all aspects of the departments coding of procedures to ensure correct and compliance processes as well as maximum reimbursement from all carriers. The Coding Manager also supervises the coding department in relation to the following: staffing, distribution of work assignments, dissemination of current coding guidelines and modern technology information, reviews and analyzes reimbursement trends in the community for all departments within TMHPO and provides education for physicians and revenue cycle staff. Responsible for managing, tracking and facilitating policies and procedures to maximize reimbursement while maintaining patient and physician satisfaction and adherence to compliance policies.Experience - External:EDUCATION REQUIREMENTS Bachelors degree in a business-related field preferred.Will accept 5 plus years of experience in managing revenue cycle and/or billing operations for a multi-physician clinical practice in lieu of a degree.EXPERIENCE REQUIREMENTSFive years experience with procedural and diagnostic coding, including at least two years of managerial experience. Must have excellent verbal and written communication skills and be able to work independently. Must be able to travel to client sites.Five years of revenue cycle and reimbursement management experience in a healthcare facility.Five years of exposure and involvement with clinic operations and processes.CERTIFICATES, LICENSES AND REGISTRATIONS REQUIREDA nationally recognized coding credential (CPC, CCS-P, CCS or CPC-H) is also required. AAPC or AHIMA is a plus. Experience with facility coding is a plus. SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED1. Must have outstanding Excel and computer skills with experience in scheduling and billing applications.2. A thorough understanding of managed care contracting, CPT/ICD-9 coding, third party and governmental payers, billing and compliance regulations, and computerized billing and collection management systems. 3. Excellent communication skills with the ability to deal effectively with physicians, management, peers, staff, and patients. 4. Must be willing and able to: a) empower, delegate and monitor staff performance, b) encourage the development of innovative and effective solutions by staff, and c) facilitate those solutions to flow through the organization. 5. Motivational and team-building skills important.6. Excellent interpersonal and written communication skills.7. Demonstrated success at independently problem-solving in a high-stress environment.

The Methodist Hospital #8 on Fortune Magazine´s Best Places To Work and US news Honor Roll Hospital

JOB SUMMARYWorks in coordination with The Methodist Hospital Physician Organization (TMHPO) Director, Business Practices to develop, implement and oversee TMHPO Business Practices billing compliance program to ensure appropriate risk management. Provides oversight and QA of specialty specific activities & coordinates refund process. Manages the internal billing compliance review process. Experience - External: EDUCATION REQUIREMENTS Bachelors degree, preferably in Health Information Management, Nursing, or related field.EXPERIENCE REQUIREMENTSSeven years experience in the following areas: physician coding, medical billing, audit/review, and supervision/management or equivalent. Experience in academic medical setting preferred.CERTIFICATES, LICENSES AND REGISTRATIONS REQUIREDOne or more of the following certifications:Certified Professional Coder (CPC)Certified Coding Specialist Physician-based (CCS-P)Registered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIREDExcellent analytical skills and the ability to organize and prioritize assignmentsMastery of diagnosis and procedural coding systemsSound judgment in applying and interpreting policies and procedures including those issued by CMS, Medicare carriers, Medicaid, and specialty societiesMust demonstrate excellent interpersonal, oral and written

MedAssurant is the nations largest medical record reviewer. To accomplish this, MedAssurant utilized RNs, LPNs, Certified Record Coders, Medical Assistants, Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities to obtain and/or review medical data. MedAssurant does these reviews in all 50 states around the nation. MedAssurant is currently recruiting RNs, LPNs, Certified Record Coders, Medical Assistants, Certified Nursing Assistants, and Medical Clerks to perform medical record reviews in the field. MedAssurant offers highly competitive hourly compensation as well as compensation for mileage traveled. MedAssurant reviewers are provided with a laptop and full abstraction and technology training. Both part-time and full-time positions are available. Responsibilities: -Accurately and efficiently conduct medical record review/abstractions services. -Scan relevant components of the medical record to support reviews performed. -Electronically download review assignments to the laptop and data collection tool; daily upload completed assignments and scanned medical records. -Participate in required training. -Complete quality, accuracy and inter-rater reliability testing as requested in a timely manner. -Communicate effectively and professionally with care provider offices, clinics, hospitals, other clinical facilities and MedAssurant staff. -Travel to medical facilities in specified area of region from home to complete review services as assigned by MedAssurant. -Represent MedAssurant with medical facility staff. -Abide by all HIPAA and associated patient confidentiality requirements.Requirements-Medical Record Coder (CPC or comparable) OR RN OR LPN OR Medical Assistant OR Certified Nursing Assistant OR Medical Clerk -Clinical experience; prefer experience in performing chart abstractions. -Ability to manage and meet deadlines. -Computer literate. -Detail oriented. -Professionally skilled in verbal and written communication. -Available to perform reviews no less than 24 hours a week. -Must be willing to travel. -Must have high speed internet access.

Methodist. Leading Medicine. Ranked No. 8 on FORTUNE magazine´s list of the ´100 Best Companies to Work For´ in 2009 Named by U.S. News & World Report as one of ´America´s Best Hospitals´

This position is responsible for managing all aspects of the departments coding of procedures to ensure correct and compliance processes as well as maximum reimbursement from all carriers. The Coding Manager also supervises the coding department in relation to the following: staffing, distribution of work assignments, dissemination of current coding guidelines and modern technology information, reviews and analyzes reimbursement trends in the community for all departments within TMHPO and provides education for physicians and revenue cycle staff. Responsible for managing, tracking and facilitating policies and procedures to maximize reimbursement while maintaining patient and physician satisfaction and adherence to compliance policies. Experience - External: EDUCATION REQUIREMENTS Bachelors degree in a business-related field preferred.Will accept 5 plus years of experience in managing revenue cycle and/or billing operations for a multi-physician clinical practice in lieu of a degree.EXPERIENCE REQUIREMENTSP Five years experience with procedural and diagnostic coding, including at least two years of managerial experience. Must have excellent verbal and written communication skills and be able to work independently. Must be able to travel to client sites.P Five years of revenue cycle and reimbursement management experience in a healthcare facility.P Five years of exposure and involvement with clinic operations and processes.CERTIFICATES, LICENSES AND REGISTRATIONS REQUIREDA nationally recognized coding credential (CPC, CCS-P, CCS or CPC-H) is also required. AAPC or AHIMA is a plus. Experience with facility coding is a plus. SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED1. Must have outstanding Excel and computer skills with experience in scheduling and billing applications.2. A thorough understanding of managed care contracting, CPT/ICD-9 coding, third party and governmental payers, billing and compliance regulations, and computerized billing and collection management systems. 3. Excellent communication skills with the ability to deal effectively with physicians, management, peers, staff, and patients. 4. Must be willing and able to: a) empower, delegate and monitor staff performance, b) encourage the development of innovative and effective solutions by staff, and c) facilitate those solutions to flow through the organization. 5. Motivational and team-building skills important.6. Excellent interpersonal and written communication skills.7. Demonstrated success at independently problem-solving in a high-stress environment.

Assigns diagnosis and procedure codes and abstracts data to inpatient and/or outpatient encounters based upon documentation within the electronic medical record. Remote coding possibility.Experience - External: Certified Coding Specialist (CCS) required. Registered Health Information Technology (RHIT) required with 10+ years coding experience in an acute-care setting with minimum 2 years coding experience in a 200+ bed, acute-care facility, or Registered Health Information Administrator (RHIA) required with 7+ years coding experience in an acute-care setting with minimum coding experience in a 200+ bed, acute-care facility. Remote coding possibility.

Appropriately codes diagnosis and procedures. Enters information into computer system, tracks money collected in clinic for services rendered.

Description - External:-Appropriately codes diagnosis and procedures. Enters information into computer system, tracks money collected in clinic for services rendered. Verifies cash transactions. Balances bank draws. Notates cash, check and/or credit on spreadsheet. Takes money to lock box.Experience - External:EDUCATION REQUIREMENTS -High School Diploma or G.E.D.EXPERIENCE REQUIREMENTS-2 years experience requiredCERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED-Certified Procedural Coder (CPC)SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED-Strong customer service, phone and scheduling skills-Knowledge of insurance requirements for physician visits and procedures-Knowledge of requirements for non-invasive lab procedures

Processes charges for inpatient and clinical physician services provided by the Department of Cardiology. Enters information into computer system, tracks money collected in clinic for services rendered. Balances bank draws. Notates cash, check and/or credit on spreadsheet. Takes money to lock box.DUTIES AND RESPONSIBILITIES- Abstracts statistical data and compiles information to spreadsheets.- Analyzes, enters and manipulates database.- Summarizes current charges and collections- Assists patients with their insurance problems.- Assists supervisor with projects, working on most complex coding assignments, typically certified and highly experienced- Responds to or clarifies internal requests for medical information.- Accountable for ongoing professional growth and development- Maintains strict confidentiality of patients, employees and hospital information at all times. - Performs other duties as assignedEDUCATION REQUIREMENTS - High School Diploma required- Associates degree in HIM and/or completion of an accredited program for coding with the designation of CCS-P or CPC required.- 5 years of coding previous experience required- Advanced demonstrative knowledge of Cardiac and Thoracic Surgery coding- Cardio-vascular and Thoracic Surgery (CPC-CTS) specialty certification preferred