Revenue Cycle Coding Specialist at Westfields Hospital

, , United States -

Full Time

Start Date

Immediate

Expiry Date

16 Jun, 26

Salary

39.41

Posted On

18 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

CPT Coding, HCPCS Coding, ICD-10 CM Coding, Anatomy, Physiology, Medical Terminology, Microsoft Office Suite, Time Management, Critical Thinking, Decision-Making, E&M Coding, Auditing, Reimbursement, Communication

Industry

Hospitals and Health Care

Description

Park Nicollet is looking to hire a Revenue Cycle Specialist to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day. Position Summary: The Revenue Cycle Specialist abstracts and enters charges for provider services that may occur in the hospital inpatient/outpatient, ambulatory surgery, or other system wide outpatient facilities. Assigns appropriate CPT codes, ICD-10 codes, modifiers, fees and other third-party payer regulations in accordance with all associated contracts in an accurate and timely manner to ensure appropriate reimbursement. Completes retrospective chart documentation audits relative to denied claims, provider request and patient complaints. Minimum Qualifications: Education, Experience or Equivalent Combination: * Must have completed a coding education program or must be a graduate from an associate or bachelor’s degree program in health information or have equivalent experience Licensure/ Registration/ Certification: * Must have a coding certificate or obtain a coding certificate within 12 months of hire. Coding certificates can include: CCA (certified coding associate), COC (certified outpatient coder), CCS (certified coding specialist), CPC (certified professional coder), CCS-P (certified coding specialist-physician), RHIT (registered health information technician), or RHIA (registered health information administrator). Knowledge, Skills, and Abilities: * Knowledge in using CPT, HCPCS, ICD-10 CM coding guidelines, rules and regulations, anatomy, physiology, basic disease processes and medical terminology * Intermediate knowledge of Microsoft Office Suite. * Must be able to work independently, apply time management and critical thinking skills, and have strong decision-making skills. Preferred Qualifications: Education, Experience or Equivalent Combination: * One year coding experience * Epic experience * Experience working with online coding resources and other related software programs. * Strong E & M coding experience. Knowledge, Skills, and Abilities: * Ability to present and communicate information in either individual and/or group settings in a professional and confident manner. Benefits: Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more! At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work. We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world. At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change. Benefits Designed to Support Your Total Health As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care. Join us in our mission to improve the health and well-being of our patients, members, and communities. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

Responsibilities

The Revenue Cycle Specialist abstracts and enters charges for provider services across various system facilities, assigning appropriate CPT, ICD-10 codes, modifiers, and fees according to payer regulations. This role also involves completing retrospective chart documentation audits related to denied claims, provider requests, and patient complaints to ensure accurate and timely reimbursement.