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Invasive Coding Analyst
Roanoke, VA JOB SUMMARY Welcome to a promising future. Explore the unique career opportunities at **MEMBERS ONLY**SIGN UP NOW***, a community-based healthcare organization that includes seven hospitals, multi-specialty physician, practices and affiliations with prestigious academic medical institutions. In addition to supporting the financial performance of a team that inspires optimal health, you'll enjoy professional stability, strong technological resources and the advancement potential of a regional leader. POSSIBLE FULL TIME REMOTE OR HYBRID REMOTE AFTER TRAINING. THIS IS NOT AN ENTRY LEVEL POSITION. EXPERIENCE WITH E/M CODING AND SURGERY/PROCEDURE CODING OF SOME SORT IS A MUST.CODING CERTIFICATION REQUIRED. GOOD COMMUNICATION SKILLS. DETAIL ORIENTED. NEED TO WORK WELL ON YOUR OWN. Attends invasive procedures as requested by the physician or requested by the Coder. Reviews invasive procedure reports, recommends or assigns and sequences CPT and HCPCS charge master codes on ambulatory invasive cardiology and radiology records, in accordance with official coding guidelines, and payer requirements to accurately code clinical procedures and charge for supplies. • Compares and reconciles variances in the documentation of dictated reports to logs of the clinical procedures performed and supplies used. • Performs pre-billing review of all cases and reviews (at least monthly) reports of pending and denied Cardiology/Imaging/Vascular claims, identifying root causes for non-payment. • Assists the Clinical Information Department by identifying coding-related revenue and reimbursement improvement opportunities for Cardiology/Radiology Services and reports these findings to management. • Maintains working knowledge of the CDM for the clinical area of assignment and collaborates with the CDM Manager for **MEMBERS ONLY**SIGN UP NOW*** and the Directors of the clinical departments to ensure that the CPT codes, procedures, supplies and revenue codes are updated as necessary, and at least annually. • Identifies, with Purchasing, supplies that can be returned to the manufacturer for correct charging to minimize lost revenue. • Consults with and provides education to physicians (Cardiologists, Vascular Surgeons, and Radiologists) regarding clinical documentation as it relates to coding requirements. • Validates charges with Internal Audit. • Maintains working knowledge of Sovera, SMS, 3M Encoder, RMS, Educode and Clinical Systems that support the clinical area of assignment. Based in western Virginia, our system offers compassionate care, medical education and research and neighborhood outreach programs. Join our award-winning organization and discover how collaborating with a regional leader in clinical and workplace excellence can enhance your future. MINIMUM QUALIFICATIONS EDUCATION: High School education required; college degree preferred. Medical Terminology and Physiology and Anatomy required. EXPERIENCE: Minimum of 3 years of demonstrated proficiency in Ambulatory (CPT) coding required. Inpatient coding experience is also beneficial, but not required. Previous Charge master experience preferred. Will consider registered technologist, LPN, or RN, with prior CDM coding experience (contingent upon agreement to obtain Coding Certification. LICENSURE/CERTIFICATION:REQUIRED: RHIT, RHIA, CCA, CCS, CPC, or CPC-H (No need to apply if you do not have one or more of these credentials) OUR VALUES Below are our core values that we strive to embody and expect of all our team members: Collaboration: Working together with purpose to achieve shared goals. Commitment: Unwavering in our quest for exceptional quality and service. Compassion: Putting heart into everything we do. Courage: Doing what's right for our patients without question. Curiosity: Fostering creativity and innovation in our pursuit of excellence. REQUISITION NUMBER: 81313 EMPLOYMENT STATUS: Full time LOCATION: CASB - Carilion Administrative Services Building SHIFT: Day SHIFT DETAILS: Variable hours, days after training RECRUITER EMAIL: **MEMBERS ONLY**SIGN UP NOW*** FOR MORE INFORMATION, CONTACT THE HR SERVICE CENTER AT **MEMBERS ONLY**SIGN UP NOW***. THIS IS **MEMBERS ONLY**SIGN UP NOW*** ... An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious. Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute. Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. MAKE YOUR TOMORROW WITH US. Equal Opportunity Employer Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity **MEMBERS ONLY**SIGN UP NOW*** is a drug-free workplace. |
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