Job Description

Location:

Work from home (Pennsylvania)

Shift:

Days (United States of America)

Scheduled Weekly Hours:

40

Worker Type:

Regular

Exemption Status:

Yes

Job Summary:

Responsible for directing, coordinating and planning functions of all personnel in the coding program area within the policies, scope and goals. Ensures and reports monthly on accurate coding practices, education, audits, metric performance parameters and staff/volume flexing.

Job Duties:

• Plans, directs and supervises coding staff to ensure timely, accurate and complete processing of rendered services.
• Assumes responsibility for hiring, training and retention of employees.
• Effectively manages and oversees program performance regarding pertinent aspects of Revenue Cycle activity.
• Plans and develops necessary policies and procedures to ensure all services are billed accurately.
• Ensures overall integrity and exceptional performance of coding staff through developed performance metric reporting..
• Ensures program knowledge and operational implementation of all related compliance, coding and documentation standards.
• Ensures program knowledge and operational implementation of teaching physician compliance guidelines and documentation standards as indicated by CMS and other contracts adopting these regulations.
• Ensures quarterly periodic performance audits of staff to ensure compliance with all policies and procedures required within the department procedure and policy manuals.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

*Relevant experience may be a combination of related work experience and degree obtained (Associate’s Degree = 2 years; Bachelor’s Degree = 4 years).

Position Details:

One relevant certification from AHIMA or AAPC is required upon hire. Acceptable certifications include:

AHIMA (American Health Information Management Association):

Certified Coding Specialist (CCS)

Certified Coding Specialist – Physician-based (CCS-P)

Registered Health Information Technician (RHIT)

Registered Health Information Administrator (RHIA)

Certified Coding Associate (CCA) – Candidates with only a CCA are required to obtain a CCS, RHIT, or RHIA within 12 months of hire.

All certifications are acceptable from AAPC (American Academy of Professional Coders) except:

Scribe, Documentation, Instructor, and International Credentials

Certified Professional Biller (CPB)

Revenue Cycle Management Specialist (RCMS)

Certified Value-Based Administrator (CVBA)

Certified Physician Practice Manager (CPPM)

Certified Professional Compliance Officer (CPCO)

Education:

High School Diploma or Equivalent (GED)- (Required)

Experience:

Minimum of 5 years-Relevant experience* (Required)

Certification(s) and License(s):

Relevant coding certification - Default Issuing Body

Skills:

Computer Literacy, Medical Records Management, Medical Records Systems

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.

• KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
• EXCELLENCE: We treasure colleagues who humbly strive for excellence.
• LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
• INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
• SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.

Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.