Job Description

 

Steward Health Care System LLC ("Steward") is a fully integrated, physician-led national health care services organization committed to providing the highest quality of care in the most cost-efficient manner in the communities where out patents live.  Steward - the largest privately held health care company in the U.S. - owns and operations 35 community hospitals across nine states, serves over 1,000 distinct communities and employs approximately 40,000 health care professionals.  In addition to our hospitals, the Steward provider network includes 4,800 providers, 25 urgent care centers, 87 preferred skilled nursing facilities, substantial behavioral health offerings, over 7,300 hospital beds under management, and approximately 1.5 million full risk covered lies through the company's managed care and health insurance services.  The total number of paneled lives within Steward's integrated care network is projected to reach 3 million in 2018.
 
Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, New Jersey, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.
 
The role of a Coder III is to provide coding support to Steward Clinics in the assignment of ICD-10-CM diagnosis, CPT-4 procedure codes and HCPCs codes. Coders ensure that maximum reimbursement is achieved and a valid database is available for research, reporting, quality and improvement activities. 
Key Responsibilities
  • Receives and reviews charge documents for accuracy
  • Reports on missing, incomplete, or inconsistent documentation to appropriate personnel
  • Educates providers and clinic staff of proper fee ticket completion and assignment of ICD-10-CM and HCPCS codes
  • Acts as a resource for Practice Managers, Physicians and CBO regarding insurance denials resolution and coding questions
  • Performs accurate charge entry in a timely manner
  • Accepts and posts co-pays, and balances charge posting
  • Keeps manager informed of the status of unbilled charges
  • Maintains a coding accuracy of 95%
  • Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
  • Mentors Coder I and Coder II team members regarding accuracy and required procedures
  • Assists with audits and research for complex billing and coding issues
  • Maintains coding certification and assists with presentation of in-service training
  • Participates in committee meetings and activities as required
  •  Completes assigned training and education
  • Performs other duties as determined by the Coding Manager
 


Qualifications

 

  • High School diploma or GED equivalent
  • Coding certification (will accept certifications to be completed within 6 months of hire)
  • Current credentials for a medical coding specialty
  • Ten or more years coding experience with demonstrated experience in more than two medical specialties
  • Must be willing to travel to designated clinics in Davis and Salt Lake counties
  • Demonstrated ability to communicate effectively on the phone, in writing and via email
  • Ability to exercise discretion on sensitive and confidential matters
  • Demonstrated computer skills with data entry, coding and Electronic Medical Record software
  • Ability to apply mathematical concepts and calculations
  • Ability to interpret policies and procedures and communicate effectively
  • Ability to show initiative, make decisions and exercise good judgment in a complex and rapidly changing environment
  • Ability to work in a team environment
  • Institutional accreditation and degree obtainment will be verified upon hire
 
Preferred Qualifications
One or more years of demonstrated customer service experience
Demonstrated experience with NextGen EMR software
Thorough understanding of medical terminology, anatomy and physiology
 
Physical Requirements
Standing, sitting, walking, speaking, listening, bending, reaching, pushing, pulling, lifting, grasping and manipulating tools, typing, using peripheral computer tools

Please Note
All positions subject to close without notice
Must be willing to float to other locations
Equal Opportunity Employer Minorities/Women/Veterans/Disabled


 


Equal Opportunity Employer Minorities/Women/Veterans/Disabled

 


Application Instructions

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