The Coding Integrity Specialist works to ensure accurate and compliant coding of hospital and clinic services through coding review, continued education, and feedback to coding leadership and staff along with the continual development and maintenance of an effective quality audit review program. This individual will work independently on most assignments but will collaborate with the Coding Documentation Education Specialist (CDES) and Coding Services Leadership for planning and implementation. This position is also responsible for completing payer-mandated reviews and the denial/appeal process when coding review is required. The Coding Integrity Specialist may be assigned the responsibility to establish and maintain a functioning onboarding process within the department. This includes planning and coordinating the orientation of new staff members.
Education: Medical Coding certificate, Associate or Bachelor’s degree in Healthcare Business Services, Health Information Technology, or related degree or applicable Coder experience required.
Certification/Registration/Licensure: Certified Coding Administrator (CCA), Specialist (CCS), or Certified Professional Coder (CPC) credentials required; Registered Health Information Administrator (RHIA), or Registered Health Information Technology (RHIT), or similar program; RHIA or RHIT certificate preferred. Certified Professional Medical Auditor (CPMA) preferred.
Experience: Minimum three years of experience in coding with demonstrated expertise in ICD-10, PCS, CPT and HCPCS coding and DRG and APC assignment demonstrating knowledge of disease process, anatomy and physiology, medical terminology required. Experience conducting coding audits and effectively communicating the results to end users and stakeholders. Experience in training and education preferred. Experience in complex data analysis and use of Excel and other tools to interpret and explain results preferred.
With so many amazing healthcare organizations in this area, why Bellin?
Bellin Health offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities. You can be part of an exciting dynamic place that offers an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself!
Additional perks include:
We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values – belonging, respect, excellence, accountability, teamwork and humility – our pillars set our foundation and our future.
Bellin Health is an Equal Opportunity Employer.
Read Full Description