• Demonstrates knowledge and skills necessary to provide services based on the physical, psychosocial, educational, safety, and other related criteria appropriate population in his/her assigned area
• Maintains required core competencies.
• Complies with set Policies and Procedures (i.e. name tag, dress code, parking, smoking, etc.)
• Create and maintain schedules for quarterly audits with each physician and allied health professional.

• Audits medical record documentation to identify under-coded and up-coded services; prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues
• Provides second-level review of billing performances to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.
• Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services,
• Interacts with physicians and other patients care providers regarding billing and documentation policies, procedures, and regulations; obtain clarification of conflicting, ambiguous, or non-specific documentation.
• Trains, instructs, and/or provides technical supports to medical providers, and Medical Coding Analysts as appropriate regarding coding compliance documentation, and regulatory provisions, and third party payer requirements.
• Interacts with providers and management to review and/or implement codes and to update charge documents.
• Ensures strict confidentiality of financial records.
• Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations.

Education

Required:

    High School

Licenses & Certifications

Required:

    C-Cert Pro Coder

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About CHRISTUS Health

CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.

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