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Healthcare Coding Specialist

Company: Innovista Health Solutions
Location: San Antonio
Posted on: September 13, 2020

Job Description:

Description:
NOTE: THIS POSITION HAS THE ABILITY TO WORK REMOTE UNTIL FURTHER NOTICE!The current healthcare landscape is ever-changing, but the desire to provide patients with better, more affordable care is consistent. Healthcare providers are working to evolve and support population health management and today's value models, but there is still uncertainty in the market. Providers need a proven, integrated approach that takes the best of today's technology and matches it with deeply experienced professionals.Innovista Health Solutions is an Illinois-based service organization with management services operations in Illinois and Texas. We are currently looking for a Healthcare Coding Specialist in our Houston, TX office. At Innovista, we believe that positive forward movement in today's uncertain healthcare market stems from the combination of innovative programs and dedicated people. Join the Innovista team and lead the charge to a better, more efficient healthcare system.JOB SUMMARY:The Healthcare Coding Specialist's responsibility is to complete chart audits and educate providers on the results of audits.DUTIES AND RESPONSIBILITIES:

  • Review high volume of medical records to determine if specific disease conditions were overlooked in billing.
  • Adheres to all official coding rules and CMS guidelines for risk adjustment reporting and ensures accuracy, completeness, specificity and appropriateness of diagnosis information.
  • Schedules and performs onsite or electronic medical record reviews and abstract appropriate medical records, in order to abstract specified and required clinical data elements for quality reporting.
  • Complete appropriate paperwork and documentation regarding claim/encounter diagnosis information.
  • Demonstrates analytical and problem-solving ability regarding review of submitted diagnosis codes versus actual services provided to the patient.
  • Perform analysis from the chart reviews for provider education training.
  • Work with other members of the organization to ensure the smooth processing of the chart review functions.
  • Assist in the development of educational materials.
  • Provide articles for the newsletters.
  • Perform other duties as assigned.

    Requirements:
    • Bachelor degree or equivalent experience required.
    • At least 2-3 years of relevant professional experience, including Coding and auditing experience required in ICD-10-CM, CPT coding and/or quality.
    • Certification in coding required (CPC, CRC, CCP, CCS)
    • Knowledge of the Medicare and its rules, regulations, forms and procedures.
    • Knowledge of medical terminology and treatment procedures.
    • Demonstrate excellent organizational skills.
    • Demonstrate effective verbal and written communication skills.
    • Demonstrate analytic skills when problem solving.
    • Proficient in MS Office Applications and ability to learn department and job specific software systems.
    • Demonstrate high attention to detail and a high degree of accuracy.
    • Able to commit to Innovista's corporate mission and values.
    • Able to switch priorities in a positive and effective manner when directed by Company leadership.
    • Able to effectively communicate technical concepts with team members and basic business concepts with team members and internal customers.
    • Valid Driver's License and vehicle required.
    • Ability to travel at least 30% for client meetings within the state required.
    • Eligible for consideration of partial work from home status upon completion of probationary period as designated by the direct supervisor.BENEFITS:Innovista is dedicated to hiring passionate individuals who embody our core values: integrity, determination, and teamwork. We recognize the importance of work-life integration and seek to provide our employees with competitive benefits, which include:
      • Comprehensive health plan options, dental, and vision coverage subsidized by Innovista
      • Opportunity to work from home, based on position and manager discretion
      • Company-paid benefits, such as short- and long-term disability, employee life, and AD&D
      • Discretionary bonus401(k) with company match
      • Opportunity for career advancement and growth
      • Flex time options may be availableWe do not post salary ranges. Salary ranges posted on other sites are not tied to our labor market specifications and are not relevant.#PM20 PI123445928

Keywords: Innovista Health Solutions, San Antonio , Healthcare Coding Specialist, Healthcare , San Antonio, Texas

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