Cleveland Clinic
- Akron, OH
- Permanent
- Full-time
We all have the power to assist, recover and alter lives– starting with our own. That’s the power of the Cleveland Clinic Health System group, and The Power of Every One.
Job Title Specialist Audit/Billing Coding
Location Akron
Facility Akron General Medical Center
Department PFS-Cleveland Clinic Akron General
Job Code AK0754
Shift Days
Schedule 8: 00 am-4: 30 pm
Job Summary Under the instructions of the Supervisor, Claims Denial and Audit, the Audit Specialist, Billing and Coding is accountable for handling the everyday billing and coding auditing efforts for the Patient Financial Services department. The Audit Specialist reacts to declare edits connected to Medical Necessity guidelines and Correct Coding Initiative (CCI) guidelines. The Audit Specialist examines billing and coding and offers department education and assistance. The Audit Specialist reacts to questions and supplies assistance concentrated on compliance and coding guidelines.
Job Details
- Reviews Medical Necessity and CCI edits and helps in acquiring precise info for certified billing.
- Participates in evaluation and research study of brand-new services under factor to consider for addition to the CDM.
- Serves as a resource to AGHS management and scientific personnel by tracking, informing and offering assistance that will help with precise billing and coding practices. Shares brand-new guidelines with affected departments.
- Updates and keeps intranet resource site of LCDs for all earnings cycle and scientific departments.
- Performs Verification of Hours (VOH) on Medicaid claims.
- Reviews Short Term Observation (STO) charts for treatments carried out. Records suitable charges in accordance with Medicare billing guidelines and guidelines.
- Works carefully with Health Information Management (HIM), Patient Financial Services (PFS), Patient Access and the scientific departments on resolving billing/coding patterns and offer assistance.
- Provides feedback, education and outreach efforts to suitable workers connecting to examine findings and patterns on billing practices.
- Assists with the conclusion of the yearly compliance work strategy that includes scientific, coding and billing evaluations.
- Serves as a resource for coding concerns and issues. Offers assistance for billing.
- Uses due diligence and all readily available resources to make sure billing codes (e.g., earnings codes, CPT codes) properly show the services supplied by AGHS.
- Supports compliance efforts by sticking to relevant organizational standards along with federal, state and regional laws. Maintains personal privacy and privacy. Show stability and keeps high ethical requirements. Functions to safeguard the properties of the company.
- Keeps abreast of compliance activity/trends to make sure updated understanding of compliance info. Shares details with the relevant Revenue Cycle and secondary department personnel. Takes part in academic and training chances.
- Completes obligatory education and training in order to preserve company and department particular proficiencies and requirements. Maintains suitable certification/licensure.
- Follows health center and department policies and treatments with unique attention to presence and punctuality, privacy, gown code and screen of ID badge.
- Other tasks as appointed
Education:
Certifications:
- RHIT, CCS or other coding accreditation.
Complexity of Work:
- Ability to support others through comprehensive auditing efforts, prompt feedback and instructional assistance.
- Knowledge and understanding of confirmation of observation hours (VOH).
- Proven capability to fulfill due dates and alter work top priorities as required.
- Excellent oral, written and discussion abilities.
- Ability to establish and preserve strong expert relationships.
- Demonstrated partnership with others.
Work Experience:
- 2 years coding experience.Demonstrated experience with client accounts and medical records audit analysis.
- Demonstrated capability to utilize the utmost discretion and preserve the strictest privacy when examining, talking about, and handling task responsibilities.
- Experience with Microsoft Office programs consisting of efficiency in Access, Excel, PowerPoint, and Word.
Physical Requirements:
Personal Protective Equipment:
- Follows basic safety measures utilizing individual protective devices as needed
The policy of Cleveland Clinic Health System and its system medical facilities (Cleveland Clinic Health System) is to supply level playing field to all of our staff members and candidates for work in our tobacco complimentary and drug totally free environment. All deals of work are followed by screening for illegal drug and nicotine. Task deals will be rescinded for prospects for work who check favorable for nicotine. Prospects for work who are affected by Cleveland Clinic Health System’s Smoking Policy will be allowed to reapply for employment opportunities after 90 days.
Cleveland Clinic Health System administers an influenza avoidance program in addition to a COVID-19 vaccine program. You will be needed to abide by both programs, which will consist of acquiring an influenza vaccination on a yearly basis, and being totally immunized versus COVID-19, or acquiring an authorized exemption.
Decisions worrying work, transfers and promos are made upon the basis of the very best certified prospect without regard to color, race, faith, nationwide origin, age, sex, sexual preference, marital status, origins, status as a handicapped or Vietnam age veteran or any other particular safeguarded by law. Info supplied on this application might be shown any Cleveland Clinic Health System center.
Please examine the.
Cleveland Clinic Health System is pleased to be an equivalent work company: Women/ Minorities/ Veterans/ Individuals with Disabilities
Cleveland Clinic
- Apply Now
No comments:
Post a Comment