ProFee Coding Lead

ProFee Coding Lead

Job Locations: US-Remote

Requisition ID: 2022-29340

# of Openings: 1

Category: HIM / Coding

Position Type: Employee Full-Time

Overview

Who we are…

Ciox Health merged with Datavant in 2021, creating the nation’s largest health data ecosystems, powering secure data connectivity on behalf of thousands of providers, payers, health data analytics companies, patient-facing applications, government agencies, research institutions and life science companies. The combined company is focused on improving patient outcomes and reducing costs by removing impediments to the secure exchange of health data. Ciox, a Datavant company will offer the ability to access, exchange, and connect data among the thousands of organizations in its ecosystem for use cases ranging from better clinical care and value-based payments to health analytics and medical research.

What we offer…

At Ciox Health we offer all employees a place to grow and expand their current skills so that they can not only help build Ciox Health into the greatest health technology company but create a career that you can be proud of. We offer you complete training and long-term career goals. Our environment is what most of our employees are the proudest of and our Architecture Group is comprised of some of the brightest and most talented individuals. Give us just a few moments to explain why we need you and hope you will help us change how the health Industry manages its’ medical records.

What we need…

Responsibilities

Role and Responsibilities

· Reviews medical record documentation to identify pertinent diagnosis/procedures that require code assignment for profee charts and accurately code the diagnoses and procedures for the purpose of reimbursement, research, and compliance with federal regulations.

· Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.

· Keeps abreast of coding guidelines and reimbursement reporting guidelines and brings identified concerns to manager for resolution

· Mentors and trains newly hired Coders and providers and provides ongoing training of Coding staff

· Assists Coding Manager with special coding assignments or coding tasks to resolve unbilled issues.

· Serves as a resource for all coding related questions, responding in a timely manner to requests and questions from Coding staff.

· Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.

· Identify and implement improvement measures that will enhance department operations and customer service.

· Monitor and report all required performance measures to include the development of department goals and assist in the assessment of goal attainment.

· Conduct and recommend trainings to improve team performance.

· Ensure management is informed of any employee personnel issues.

· Function as a resource to employees for questions and additional training.

· Assist management in monitoring staff’s KPIs, time keeping and schedules.

· Other duties as assigned.

Qualifications and Education Requirements

Education preferred: High School Diploma or GED required; Associates Degree in Health Information Managemendt or any Healthcare Related Field preferred
Certifications: Coding Certification from the American Association of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) required

· Three to Five (3-5) years of profee coding experience

· Previous supervisory/team lead experience

Preferred Skills

· Effective oral and written communication skills

· Strong knowledge of ICD 10 and Profee coding guidelines

· Strong analytical skills to interpret data

· Strong knowledge of human anatomy, medical terminology, and surgical terminology

· Strong critical thinking skills and decision-making skills

· Strong knowledge of coding compliance policies, coding guidelines for multiple specialties, and insurance payor policies

· Billing/denial experience

Additional notes

· Auditing experience is a plus

· Education/Training experience is a plus

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Ciox Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions.

With very limited exceptions (medical conditions or sincerely held religious beliefs that prohibit you from getting the vaccine), one of the requirements for this job is that you be fully vaccinated against COVID-19.

*Except for states where legally prohibited to enforce mandates.