CBO CODING SPECIALIST - REVENUE CYCLE

<p>Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Certified Specialist accurately abstracts information from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation, and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensure compliance with established coding guidelines, third party reimbursement policies, and regulation and accreditation guidelines.</p> <p>REQUIRED:</p><ul><li>High school diploma or G.E.D. equivalent</li><li>Thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, and pharmacology</li><li>Proficiency in ICD-10 CM, CPT, and HCPCS coding systems</li></ul><p>&#xa0;</p><p>CERTIFICATIONS/LICENSURES REQUIRED:</p><ul><li>Registered Health Information Technician (RHIT) certification, RHIT certification eligibility, or one of the following: CPC, CPC-A, CCS, CCP, or CCA certification</li></ul><p>&#xa0;</p><p>&#xa0;PREFERRED:</p><ul><li>Some college coursework or degree in Accounting, Business, Healthcare Administration, or Medical Record Sciences</li><li>Six (6) months of prior coding experience</li><li>Prior experience in a healthcare revenue cycle position</li><li>Billing or coding experience</li></ul><p>&#xa0;</p><p>CORE COMPETENCIES:</p><ul><li>Strong organizational and time management skills with ability to prioritize work effectively</li><li>Effective communication with colleagues, supervisors, and managers</li><li>Ability to work independently and remotely</li><li>Proficiency in medical terminology</li><li>Ability to recognize patterns and trends and escalate findings to supervisors for root-cause analysis</li><li>Ability to assist and support team members</li><li>Commitment to legal and ethical guidelines as outlined in the HFHS Code of Conduct</li></ul>