Coding Audit and Education Specialist

Full job description

About Xtend Healthcare
Xtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a large-scale business processing solutions company. Learn more at www.xtendhealthcare.net

THIS POSITION IS REMOTE - WORK FROM HOME.

The Coding Audit and Education Specialist is responsible for accurately coding and auditing (ICD-10-CM, CPT, HCPCS, Level I & II modifiers) Inpatient Facility, outpatient facility emergency room, outpatient surgery, observation, outpatient facility ancillary, recurring therapy, clinic or professional coding or coding edits and denials resolution. Primary focus will be for external customer projects. Will be working with multiple facility specific, state billing and coding guidelines as well as various Medicare Administrative Contractors nation-wide. Will be responsible for creating and providing coding education and training based on audit findings as requested to external customers as requested. Will also provide coding education and training to internal (Xtend) coders as requested. Will interact and present to physicians and other client executives.

JOB SUMMARY:

1. Project Work.

• Facility Coding and Auditing (Inpatient, ER, OPS, OBS, Ancillary, Recurring Therapy, Clinic, etc.).
• Professional Coding and Auditing.
• Coding Edits and Denials Resolution.

2. Educations and Training.

• Develop coding education presentations as requested.
• Provide coding education and training to customers as requested.
• Provide coding education and training to internal coders as requested.

3. Record Keeping.

• Completion of Masterlog of accounts audited daily.
• Completion of Time Allocation reports daily.

4. Analysis/Reporting.

• Identifies trends while coding and auditing.
• Creation of presentations and reports.
• Identifies potential issues or errors.

5. Customer Service.

• Client liaison to communicate account inquiries.

MINIMUM REQUIREMENTS:

• High school diploma with some college (additional equivalent experience above the required minimum may substitute for the required level of education)
• Minimum of 10 years of experience with production coding for both inpatient and outpatient types of service. This should include hospital and physician practice.
• Training and mentoring experience
• Coding Certifications: The following are recognized professional certifications: Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS). Sr. Coding Specialist III coders are required to possess at least one of the above professional services coding certifications. Continuing Education Requirements: Medical coders shall maintain the required continuing education hours in order to maintain current and proper national certification(s) requirements for this position.
• RHIA, RHIT certification accepted equivalent for all coding positions.
• Complete a pre-employment medical coding assessment that is provided, developed, and administered by candidate management instructions.

PREFERRED QUALIFICATIONS:

• An understanding of healthcare billing practices and compliant claims preparation for both governmental and commercial payers.
• Revenue Cycle Certifications: The following are recognized professional certifications: Certified Professional Account Representative (CPAR), Certified Revenue Cycle Representative (CRCR) or Certified Professional Biller (CPB).
• Electronic health record (EHR) expertise, including knowledge of a variety of vendors.
• Specialty Coding Certifications: The following are recognized professional certifications: Ambulatory Surgical Center (CASCC), Anesthesia and Pain Management (CANPC), Cardiology (CCC), Cardiovascular and Thoracic Surgery (CCVTC), Chiropractic (CCPC), Dermatology (CPCD), Emergency Department (CEDC), Evaluation and Management (CEMC), Family Practice (CFPC), Gastroenterology (CGIC), General Surgery (CGSC), Hematology and Oncology (CHONC), Internal Medicine (CIMC), Interventional Radiology and Cardiovascular (CIRRC), Obstetrics Gynecology (COBGC), Orthopedic Surgery (COSC), Otolaryngology (CENTC), Pediatrics (CPEDC), Plastics and Reconstructive Surgery (CPRC), Rheumatology (CRHC), Surgical Foot & Ankle (CSFAC), and Urology (CUC).

All offers of employment are contingent on standard background checks. Navient and certain of its affiliated companies are federal, state and/or local government contractors. Should this position support a Federal Government contract, now or in the future, the successful candidate will be subject to a background check conducted by the U.S. Government to determine eligibility and suitability for federal contract employment for public trust or sensitive positions. Positions that support state and/or local contracts also may require additional background checks to determine eligibility and suitability.

EOE Race/Ethnicity/Sex/Disability/Protected Vet/Sexual Orientation/Gender Identity. Navient Corporation and its subsidiaries are not sponsored by or agencies of the United States of America.

Navient is a drug free workplace.