Kettering Health
Pro Fee Coding Spec - Professional Svc Coding
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Job Details System Services | Miamisburg | Full-Time | First Shift
Responsibilities & Requirements This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance and EPIC WQ Reconciliation.
KPN Pro Fee Coding Specialist Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines.
Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10
Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy]
Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits
Corresponds with providers on pending claims to facilitate resolution
Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies
Communicate appropriately with providers, leaders, and staff
Researches and resolves concerns timely
Educational Requirements
High School Diploma or equivalent
RHIT, RHIA, CCS, CCS-P, CPC or eligible specialty certification
Prior experience in professional fee coding/billing
Knowledge And Skill
CPT, HCPCS, Modifiers, ICD-10, and CMS NCCI Edits
Medical Terminology and Anatomy & Physiology
Computer and EPIC Applications
Excellent verbal and written communication skills
Abilities
Charge Review WQ [Edits]
Reviews, researches and responds to Charge Review WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Claim Edit WQ [Edits]
Reviews, researches and responds to Claim Edit WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Follow Up WQ [Denials]
Reviews, researches and responds to Follow Up WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Departmental Responsibilities
Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies
Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits
Follow procedures pertaining to position
Researches and resolves concerns timely
Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
Seniority level: Entry level
Employment type: Full-time
Job function: Other – Hospitals and Health Care
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Get AI-powered advice on this job and more exclusive features.
Job Details System Services | Miamisburg | Full-Time | First Shift
Responsibilities & Requirements This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance and EPIC WQ Reconciliation.
KPN Pro Fee Coding Specialist Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines.
Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10
Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy]
Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits
Corresponds with providers on pending claims to facilitate resolution
Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies
Communicate appropriately with providers, leaders, and staff
Researches and resolves concerns timely
Educational Requirements
High School Diploma or equivalent
RHIT, RHIA, CCS, CCS-P, CPC or eligible specialty certification
Prior experience in professional fee coding/billing
Knowledge And Skill
CPT, HCPCS, Modifiers, ICD-10, and CMS NCCI Edits
Medical Terminology and Anatomy & Physiology
Computer and EPIC Applications
Excellent verbal and written communication skills
Abilities
Charge Review WQ [Edits]
Reviews, researches and responds to Charge Review WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Claim Edit WQ [Edits]
Reviews, researches and responds to Claim Edit WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Follow Up WQ [Denials]
Reviews, researches and responds to Follow Up WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Departmental Responsibilities
Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies
Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits
Follow procedures pertaining to position
Researches and resolves concerns timely
Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
Seniority level: Entry level
Employment type: Full-time
Job function: Other – Hospitals and Health Care
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