Coding Specialist - Oceanport, NJ

Required:

• Associate s Degree

• Must have advanced coding education and training.

• Must have excellent interpersonal, oral, and written communication skills.

• Must have excellent organizational and time management skills.

• Must be able to work independently with minimal supervision.

Certifications and Licenses Required:

• CCS required

Preferred:

• Bachelor s degree preferred.

• Prior coding supervisory experience and/or coding consultant experience preferred.

• CCS-P, CPC, CPC-H, RHIT, RHIA, and/or RN also encouraged.

Essential Functions:

• Reviews ICD10-CM/PCS coding performed by affiliate staff, inclusion of HIM Coding Supervisor and Quality Officer, for accuracy and completeness.
• Reviews HCPCS/CPT coding performed by affiliate staff, inclusion of HIM Coding Supervisor and Quality Officer, for accuracy and completeness.
• Reviews Discharge Status, Admission and Discharge Dates, and other related demographic information coded and entered by affiliate staff, inclusion of HIM Coding Supervisor and Quality Officer, for accuracy and completeness.
• Reviews Present on Admission (POA) indicators for all diagnosis coded and entered by affiliate staff, inclusion of HIM Coding Supervisor and Quality Officer, for accuracy and completeness.
• Reviews DRG and APC assignment performed by affiliate staff, inclusion of HIM Coding Supervisor and Quality Officer, for accuracy, dependent on payer and patient type.
• Reviews Physician Queries performed by affiliate staff, inclusion of HIM Coding Supervisor and Quality Officer, for necessity, and accuracy and completeness.
• Reviews Evaluation and Management (E/M) coding performed by affiliate staff, inclusion of employed physicians, for accuracy and completeness.
• Performs classroom training in ICD10-CM/PCS and CPT coding for affiliate staff at the Corporate Coding School.
• Performs periodic ICD10-CM/PCS, CPT, DRG, and APC training sessions for affiliate staff, including research and preparation of presentations and maintenance of attendance records.
• Performs mentoring for HIM Quality Officers.
• Reviews RAC recommendations for Medicare and Medicaid RACs and prepares appeal documents if applicable.
• Prepares detailed written reports of review activities.
• Maintains proper computer and written records of all review activity.
• Effectively communicates coding recommendations and reasoning for the recommendations.
• Performs regulatory coding research for HIM Coding Supervisors and Quality Officers.
• Assists internal and external Compliance counsel in external agency investigations, Corporate Integrity Agreement (CIA) and Independent Review Organization (IRO) reviews as required.
• May be required to assist in the formation of Corrective Action Plans for the affiliate staff.
• May be required to perform other related duties.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered,

high-quality academic medicine in a compassionate and equitable manner, while delivering

a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer