Charge Entry Coding Specialist

Overview:

We are Hiring at UofL Health!

Location: 250 E. Liberty Street Louisville, KY 40202

About Us

UofL Health is a fully integrated regional academic health system with seven hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehabilitation Institute and the Brown Cancer Center.

With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Our Mission

As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.

Job Summary

This employee is responsible for reviewing and evaluating medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and HCPCS/CPT codes for outpatient services provided at the Brown Cancer Center (BCC) including Bone Marrow Transplant (BMT) and infusions and injections (I&I) and clinic charges. The specialist performs code validation across multiple entities and applies the appropriate coding guidelines and criteria for code and modifier selections. The specialist adheres to the Official CMS Coding Guidelines and Facility Coding Compliance policies and procedures for the assignment of complete, accurate, timely, and consistent codes for charge entry. The specialist supports the facility’s overall operational goals by efficiently and effectively providing account data needed for accurate and timely Revenue Cycle processing and billing.

Responsibilities:

Uses ICD-10-CM and/or HCPCS/CPT codes to assign, validate, and/or work pre-bill coding edits for the following patient types:Medical Oncology (Med-ONC), Radiation Oncology (Rad-ONC), Bone Marrow Transplant (BMT), Infusion & Injections, and multispecialty hospital-based outpatient clinics (Oncology, HepC, MS, Pulmonary, etc.)

Works pre-bill edits daily to resolve issues related to coding assignments, charge errors, and missed modifiers

Maintains or exceeds established productivity standard (minimum of 75 pre-bill edits cleared daily or a combination of daily charge capture and pre-bill edits)

Ensures that all assigned charges are captured timely and consistently within the 3-day charge goal

Performs coding audits for BCC coders upon request and as needed to reduce coding error trends

Utilizes the complete medical record documentation in code assignment, validation, and/or editing of codes

Works collaboratively and supports efforts of team members

Ensures adherence to the official coding guidelines, infusion and injection coding guidelines, ethical coding standards as well as HIM coding compliance policies and procedures

Meets all educational requirements and attend required continuing education workshops, webinars assigned by manager for coding compliance

Maintains compliance with all company policies, procedures and standards of conduct

Complies with HIPAA privacy and security requirements to maintain confidentiality at all times

Performs other duties as assigned

Qualifications:

MINIMUM EDUCATION & EXPERIENCE

- High School education or GED required.

High school diploma or GED/Equivalent (required)

Completion of a Certified Coding Program (required)

Experience:

Three (3) years outpatient coding experience (required)

Three (3) years of prior oncology coding experience (preferred)

Prior billing to include government and commercial payer experience (preferred)

Prior experience with 3M Coding and Allscripts STAR and TruBridge billing systems (preferred)

Certification:

Nationally accepted Certified Coding Credentials (i.e., RHIT, RHIA, CPC, CPC-H, CCA, CCS, CCS-P or CHONC) (required)

-Prior experience working with government and commercial payers, a plus.

Benefits & Perks

• Competitive Pay & Benefits Options

• Paid Vacation, Sick days, and Holidays

• Free tuition to UofL for Part- and Full-time employees for Child/Spouse/Domestic Partner

• 401K with Employer Match

#LI-DNI

Permanent