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Overview

Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 17,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com.

Responsibilities

Job Summary

Specialized coding of one or more of the following work types: Outpatient Interventional radiology, or procedural cardiology. Specialized coding may also include Claims Edit Review and Reconciliation. Reviews, assigns, and sequences ICD-10-CM, ICD-10-PCS, CPT and HCPCs codes through review of Inpatient and/or Outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance.

Essential Functions

+ Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT and HCPCs diagnostic and procedural codes for inpatient and/or outpatient accounts within HonorHealth. Reviews physician documentation & coding for appropriateness & accuracy and makes corrections following Medicare & AMA coding guidelines. Utilizes electronic medical record and computer-assisted coding (CAC) software. Assigns DRGs as applicable. Codes complex accounts specifically related to one of the following work types: Interventional radiology, procedural cardiology, or claims edit review and reconciliation. Addresses NCCI, OCE, LCD, and other coding edits, as applicable.

+ Complies with system-wide coding practices to meet corporate compliance guidelines and ensures appropriate and effective reimbursement with Patient Financial Services, medical staff and various departments. Reviews and analyzes medical records for accurate ICD and CPT code selection.

+ Maintains weekly communication with providers to ensure timely notification of identified trends that might impact revenue or compliance. Educates assigned providers on appropriate coding and documentation and provide supporting documentation to enhance awareness and corrections needed for accurate coding.

+ Assists Patient Financial Services with interpretation and selection of appropriate ICD/CPT codes and /or other information requested for accurate billing and reimbursement including failed bill parameters.

+ Performs charge reconciliation to ensure all submitted charges are posted timely and balance with total submitted charges. Assigns charges as applicable

+ Resolves routine coding issues/problems and appropriately seeks assistance from Supervisor.

Education

+ Associate's Degree in health related field - Preferred

+ High School Diploma or GED - Required

Experience

+ 3 to 5 years' coding in one of the following work types: radiology, interventional radiology, cardiology, or cardiology catheterization laboratory, or equivalent in the radiology or cardiology field. - Preferred

+ 2 years coding in one of the following work types: Radiology, interventional radiology, cardiology, or cardiology catheterization laboratory. - Required

+ Other Working Knowledge of medical terminology, anatomy and physiology, knowledge of medical record requirements, HIPAA privacy rules, and assigning and sequencing ICD/CPT codes. Knowledge of charging and billing process specific to one of the following work types: Radiology, interventional radiology, cardiology, or cardiology catheterization laboratory. - Required

+ Other Knowledge of pathology, pharmacology, microbiology, radiology, and other clinical specialties. Working knowledge of charging and billing process specific to one of the following work types: Radiology, interventional radiology, cardiology, or cardiology catheterization laboratory - Preferred

Licenses and Certifications

+ CCS or CIC or CPC-H/COC - Required

+ CCS, CIC, RHIT, RHIA, OR equivalent radiology or cardiology related certification - Preferred

Qualifications

EducationHigh School Diploma or GED RequiredExperience2 years coding in one of the following work types: Radiology, interventional radiology, cardiology, or cardiology catheterization laboratory. Required

Other Working Knowledge of medical terminology, anatomy and physiology, knowledge of medical record requirements, HIPAA privacy rules, and assigning and sequencing ICD/CPT codes. Knowledge of charging and billing process specific to one of the following work types:

Radiology, interventional radiology, cardiology, or cardiology catheterization laboratory. Required Licenses and Certifications CCS or CIC or CPC-H/COC Required