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Position: Coding Analyst/Behavioral Health
Location: Bradenton, FL
Date of Vacancy: 9/19/2017
Closing Date: Until Filled
Job Summary:
Position Summary The Coding Analyst/Behavioral Health is responsible for managing the daily provider coding charge entry and auditing for multiple Behavioral Health locations within Skill Nursing Facilities, Assisted Living Facilities and offices. Assigning the appropriate CPT-4, HCPCS, and ICD-10 code(s) to medical/behavioral health services rendered by MCRHS providers. The Coding Analysts/BH is relied upon for expertise on necessary elements of all documentation completed and audits to determine compliance levels regularly they follow the billing and coding rules and regulations in accordance with the Federal, State, and Insurance regulatory laws and they are responsible for the training and monitoring of assigned departmental staff and staff clinicians. The Coding Analyst is also responsible for the gathering and disseminating of information related to implementing policies, procedures, and protocols to facilitate the needs of the organization with billing and reimbursement related issues. Essential Duties and Responsibilities • Responsible for reviewing the provider’s coding for accuracy and in accordance to the visit documentation and re-code as appropriate. • Responsible for the reviewing, coding and billing of hospital surgeries and MCRHS provider services on a daily basis. • Responsible for chart auditing for behavioral coding accuracy, as assigned • Tracking inaccuracies and reporting to Supervisor. • Communicating problems/issues on daily work tasks in a timely manner. • Responsible for notifying unit leader, supervisor, manager, or Revenue Cycle Director of immediate or pending system errors, or system problems. • Responsible for incoming patient calls. • Directing problem accounts to the appropriate unit leader, supervisor, manager, and/or Revenue Cycle Director. • Responsible for insuring charges are entered and received by the payers, submitting electronic claims, printing and mailing paper claims, and ensuring all items are entered into the system in a timely manner. • Assists in trouble shooting and reporting transmittal problems. • Assists in the training of new employees as instructed by supervisor. • Responsible for advising front desk supervisor of front desk staff billing errors. • Supports the goals and mission of MCR Health Services • Adheres to the safety policy of MCR Health Services • Performs other duties as assigned from time to time.
Requirements:
• High School Graduate or GED • Must be able to organize data for easy retrieval • Must have working knowledge of physiology, psychiatric and medical terminology • Must have working knowledge with ICD-10 and CPT coding (minimum 2 years) • Must have working knowledge in Managed Care, Government Payers, and Private Payers • Must have Coding Certification from AAPC or other MCRHS accepted Certifying Board. • Preferred experience in chart auditing for Behavioral Health (minimum 2 years). • Must have experience and/or education in computer data entry • Must have working experience in chart auditing for coding accuracy • Must have experience with coding & billing of clinical and hospital/surgical procedures and hospital services (minimum 2 years) • Must be able to work with minimal supervision • Must have working knowledge of computers, calculators and typewriters • Must be able to meet deadlines and complete assignments weekly • Must be courteous, helpful and maintain patient confidentiality **MCR Health Services is a drug free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test.

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