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  • Coding Liaison, Professional Billing Coding

    Minnesota Visiting Nurse Agency (Minneapolis, MN)



    Apply Now

    *_SUMMARY:_*

    We are currently seeking a*Coding Liaison*to join our Professional Billing Codingteam. This full-time role is designated for the day shift and is primarily remote (approximately 90%). However, occasional on-site presence may be required based on operational needs.

     

    *Purpose of this position:*Provides support, education, and feedback to the Physicians, Advanced Practice Providers, Residents, and Coding Staff on documentation guidelines and billing trends//

    *_RESPONSIBILITIES:_*

    * Assists with New Provider Onboarding

    * Presents education points and/or findings to Physicians, Advanced Practice Providers, Residents, and Coding Staff regarding coding and billing trends and related quality metrics

    * Develops and executes departmental review projects with measurable financial and/or compliance goals per analysis findings

    * Organizes, analyzes, and presents data for the purpose of supporting Department Chiefs, Practice Managers, and other stakeholders throughout the organization to outline and institute strategies for improvement

    * Collaborates with other departments and key stakeholders to determine trends and educational needs

    * Analyzes provider documentation and billing practices through financial and coding activity reports, as well as documentation reviews, to identify potential opportunities for revenue capture and recognize areas of compliance concern

    * Performs a detailed annual review of CPT and ICD-10-CM which includes identifying codes that have been deleted, added, or replaced; identifies description changes and communicating these changes to clinical departments that will be impacted

    * Supports clinical areas and departments in charge capture and coding accuracy to ensure organization-wide uniformity of charges and coding for similar products and procedures

    * Identifies/investigates issues with medical necessity, coding, and billing that reduce reimbursement; recommends action steps and works collaboratively with the department to improve processes when operational weaknesses and/or compliance issues are found

    * Conducts annual provider quality reviews to evaluate the appropriateness of services and procedures billed based on supporting documentation; evaluates appropriateness of diagnoses (ICD) and procedural (CPT) codes billed for services; evaluates adequacy of documentation to meet the Teaching Physician guidelines; evaluates level of service billed for evaluation and management (E/M) services, evaluates appropriateness of modifier usage

    * Other duties as assigned

    *_QUALIFICATIONS:_*

    /*Minimum Qualifications:*/

    * Two (2) years post-secondary education in HIM field

    -OR-

    * Three (3) years external coding/reimbursement experience

    -OR-

    * An approved equivalent combination of education and experience

    /*Preferred Qualifications:*/

    * Bachelor’s Degree in health related field

    /*Knowledge/ Skills/ Abilities:*/

    * Strong interpersonal and communication skills

    * Comfortable discussing patient care/clinical presentation of the patient (as it relates to quality metrics and coding) with providers

    * Able to present to both small and large (up to 100) groups

    * Initiates judgment, makes decisions, and works autonomously

    * Ability to work with a variety of stakeholders at various levels of authority within the organization

    * Problem solving and conflict resolution

    * Analytical and critical thinking skills

    /*License/Certifications:*/

    * RN

    * CCS-P, CPC, RHIT, RHIA

    * CDIP, CCDS

    **Title:** *Coding Liaison, Professional Billing Coding*

    **Location:** *MN-Minneapolis-Downtown Campus*

    **Requisition ID:** *251859*

     


    Apply Now



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