Job Information
Trinity Health Coding Specialist III in Boise, Idaho
Employment Type:
Full time
Shift:
Day Shift
Description:
GENERAL SUMMARY AND PURPOSE:
Works in a team environment and is responsible for ensuring accurate CPT and ICD documentation for the patient billing process. Creates a positive experience for the patient and family members by addressing billing related questions.
Takes responsibility for educating fellow team members and providers to accurately document services they have performed and use the appropriate code representing those services. Ensures timely depositing of patient payments and verifies the accuracy of data reported by the Patient Service Representatives.
SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:
High School Diploma or equivalent required. Successfully completed CPC course and applied and been accepted to the AAPC. Must complete and maintain Certification in Procedural Coding exam within one year of hire and maintain AAPC, AHIMA or CCSP certification/membership.
Level III requires 5 years of coding experience including 1 year of proven experience reviewing, auditing, providing feedback to Providers, and coding by documentation and 1 year with the organization as a level II.
ESSENTIAL FUNCTIONS:
Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions. Ensures medical documentation and coding compliance with Federal, State and Private payer regulations.
Performs coding functions, including CPT, ICD-9/10 assignment, documentation review and claim denial review. Responsible for proofing daily charges for accuracy and clean claim submission. Responsible for balancing charges and adjustments.
Maintains productivity standards. Maintains compliance with regulatory requirements. Participates in seminars and continuing education activities pertinent to areas of job responsibility. Conducts coding education for physicians and staff. Maintains patient confidentiality. Performs daily deposits and accurately maintains Month End Reports. Follows Cash Control Policy and Procedure. Substitutes at other clinics if Coder is needed. Participates in and attends off site meetings/seminars. Understanding of various medical claims formats. Working knowledge in medical terminology.
Knowledge of payer contracts and reimbursement. Thorough working knowledge of Federal, State and Private payer regulations. Excellent verbal and written communication skills. Problem identification and problem-solving skills. Customer service-oriented attitude/behavior. Ability to interact with patients and providers in a pleasant/neat, poised demeanor. Polite and courteous speaking manner and excellent telephone etiquette. Detail oriented with the ability to complete tasks in a timely manner. Ability to work well as a team member.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran