Edward-Elmhurst Health

Edward-Elmhurst Health.

  • Warrenville, IL


  • Irreversible.

  • Full-time.

GENERAL SUMMARY:

Assigns diagnostic and treatment codes for certified doctor repayment and for both examination/ management and surgical services under basic guidance. Interacts daily with doctors and personnel in order to solve inconsistencies with client records and coding choices. Carries out company audits on E/M (evaluation/management) services and informs suppliers as required.

CORPORATE PHILOSOPHY:

It is the responsibility of each worker of Edward Hospital & Health Services to comply with and promote the objective and worths of the Corporation to make sure that exceptional services are provided with empathy.

PRINCIPAL DUTIES AND RESPONSIBILITIES: (The following tasks and duties are all necessary task functions, as specified by the ADA, other than those that start with the word “May.”)

  • Acts as resource for Charge Capture Specialists when evaluating charges gone into in system
  • Communicates with service providers concerning essential coding modifications, specific coding habits daily.
  • Orients brand-new companies and proper personnel to coding treatments and standards. Produces coding resources and guides. Performs doctor and personnel education (e.g. production reports, code usage patterns, and so on)
  • Reports any non-compliant activity to Corporate Compliance Officer. Assists in fixing compliance concerns of non-compliant activity.
  • Codes information from client records using digital coding system and medical record to guarantee ideal compensation to the hospital/physician.
  • Responds to coding queries; evaluations accounts and medical records to solve problems and conflicts.
  • Communicates with companies and informs assistance personnel about coding guidelines and treatments.
  • Partners with Midwest Physician Administration Services (MPAS) and Office Supervisors on day-to-day coding and billing issues.
  • Researches details and coding guidelines to help others in making changes/improvements in coding/billing policies, treatments and system design templates.
  • Works collaboratively with doctors when concerns concerning paperwork, medical diagnosis coding and level of service.
  • Performs audits on EHV Providers and point of view inbound suppliers in accordance with Corporate Compliance requirements. Maintains reports of all audit activities, sending very same to Corporate Compliance sub-committee.
  • Maintains existing info associated to compensation and coding trends/issues through subscription in expert companies, presence of conferences and workshops, relationship with payers, resource products and publications to make sure existing details is protected, preserved and dispersed to service providers.
  • Performs other associated responsibilities as required in order to support the accomplishment of department objectives and goals.

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

1. Preferred Education and/or Experience:

  • Minimum one year of previous medical records experience
  • Knowledge of human anatomy, physiology, Current Procedural Terminology coding (CPT), ICD coding and Healthcare Common Procedure Coding System (HCPCS)
  • Knowledge of Microsoft Office Suite

2. Needed License/Certification:

  • Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) or Certified Professional Coded (CPC) accreditation

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Edward-Elmhurst Health.

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