Work Shift:
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Position Overview:
SUMMARY (BASIC PURPOSE OF THE JOB)
Provides expertise in development and maintenance of rules, policies and procedures to ensure organizational compliance with industry standard coding rules and guidelines. Interprets and applies National Uniform Billing Compliance rules, guidelines, laws and industry trends to support claims payment, provider reimbursement and system configuration to proactively address cost efficiencies and compliance requirements. Recommends clinical classification and reimbursement guidelines and standards. Reviews coding in provider contracts and participates in development of coding standards for provider contracts. Performs health data analytics related to reimbursement business and policy decisions.
MINIMUM REQUIREMENTS
Education:Associate's degree. CCS, CIC, COC, or CPC-H certification.
Experience:Two years of medical or hospital coding experience.
Other Credentials:
Knowledge and Skills:Prior experience with 3M encoder and HBOC computer system. Possesses excellent organizational, interpersonal, verbal, and written communication skills. Cerner experience preferred.
Special Training:Instructed in ACP assignment and the application of the requirements needed to comply with federal and local regulations.
Mental, Behavioral and Emotional Abilities:Ability to effectively manage multiple projects simultaneously and ability to respond quickly in a fast paced environment.
Usual Work Day:8 Hours
Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.
"Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft."
Top Skills
What We Do
Capital Health is the region’s leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Comprised of two hospitals (our Regional Medical Center in Trenton and Capital Health Medical Center – Hopewell), our Hamilton outpatient facility, and various primary and specialty care practices across the region, Capital Health is a dynamic healthcare resource accredited by The Joint Commission and a three-time Magnet-designated health system for nursing excellence
