at Trinity Health in Maywood, Illinois, United States
Job Description
Employment Type:
Full time
Shift:
Day Shift
Description:
Responsible to ensure accurate CPT and/or ICD-10 documentation for the patient billing process. Responsible for educating colleagues and providers in accurately documenting services performed and using the appropriate codes representing those services. Maintains documentation regarding charge capture processes. Performs regular reviews of process adherence and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. Provides oversight of charge reconciliation processes for assigned departments; ensuring daily and appropriate monthly reconciliations are occurring.
Performs charge entry, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers and checking clinical documentation. Work closely with Revenue Integrity staff and providers to educate on improved documentation to support coding.
The Coding Educator/Trainer is responsible for conducting coding and billing training to physicians, coders, and other interested personnel, including developing the curriculum and training materials, and assessing competency. Performs quality assurance reviews/audits with appropriate feedback. Monitors coding and billing regulations to assure compliance with governmental and payer regulations. Acts as a resource to PNO staff regarding coding issues.
JOB SPECIFICATIONS AND CORE COMPETENCIES
Education: Bachelor’s Degree OR equivalent training acquired via work experience or education
Preferred: Bachelor’s Degree Specify Degree(s): Registered Health Information Administrator or Registered Health Information Technician
Licensure/Certifications : Required: Certified Coding Specialist Physician Based (AHIMA) or Certified Professional Coder (AAPC)
Experience: Required: 3-5 years of previous job-related experience Preferred: 6-10 years of previous job-related experience Details: Experience with providing Physician/Non-physician practitioner education and training
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