Job description

Love Where You Work!

Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community.

If you’re ready for a rewarding new career, join Team Bronson and be part of the experience.

Acts as an internal resource for Bronson Medical Group for professional service coding and documentation education. Provides provider elbow to elbow coding and documentation support through ad hoc phone calls and site visits, the creation of specialty or individual provider tip sheets, virtual and onsite presentations. Provides guidance and advice for reporting policies mandated by government entities and other payers for completion of coded data including level of service, diagnosis, procedure and diagnostic code assignments. Analyzes data, communicates findings, and facilitates improvement efforts. Independently develops and maintains educational materials and training programs. Works in conjunction with the clinical practice managers, the revenue cycle, and coding leadership teams.

QUALIFICATIONS

Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) required; Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications a plus.

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification in conjunction with physician based coding experience, including evaluation & management (E/M) and surgical coding experience, may be considered contingent upon CPC or CCS-P certification being acquired within the first 6 months of employment.

Bachelor's degree preferred.

A minimum of three (3) years of auditing E/M and/or surgical coding experience required.

Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines.

Demonstrates commitment to continuous learning and performs as a role model to other coding staff.

Experience working in a teaching hospital setting preferred.

Prior experience with billing and claims processing preferred.

Prior experience working in a hospital or clinical setting is preferred.

Strong communication and organizational skills.

Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge, experience in Epic a plus.

EDUCATION AND/OR EXPERIENCE

Coding certification required. Bachelor’s degree preferred. Must have a minimum of three years E/M and surgical coding experience.

LICENSES, REGISTRATIONS, CERTIFICATIONS

Coding Certificate required – Certified Professional Coder (CPC) or Certified Coding Specialist – Physician Based (CCS-P).

OTHER SKILLS AND ABILITIES

Excellent oral, written, organization, and interpersonal skills. Analytical skill necessary to assist in problem solving. Proven ability to exercise judgment and make appropriate decisions. Ability to learn and use computer systems competently and effectively.

WORK ENVIRONMENT

While performing the duties of this job, the employee regularly works in a clean, well lighted & temperature controlled environment. The noise level in the work environment is usually moderate.

PHYSICAL DEMANDS

While performing the duties of this job, the employee is occasionally required to stand. The employee is occasionally required to use hands to finger, handle, or feel. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision.

INTERPERSONAL REQUIREMENTS

Must be able to communicate verbally and in writing with management, physicians, nurses and colleagues. Daily and on-going communication with members of the revenue cycle.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Educates providers and coding staff within the practice setting on proper CPT, ICD-10, modifier usage and HCPCS coding. Performs random reviews of physician charges to identify opportunities for ICD-10 specificity, charge capture, and proper coding of all services rendered.

Reviews and responds to coding questions submitted by physicians.

Evaluates clinical documentation to identify inconsistency or improvement opportunities that could impact reimbursement, revenue integrity, and/or reduce denials.

Develops educational presentations, learning tools, and training materials for physicians and certified coders.

Serves as a liaison point of contact for clinical coding inquires for professional billing and the revenue cycle.

Seeks to establish collaborative relationships with physician leaders, clinical providers, IT, Corporate Compliance, Revenue Cycle, and administrative leadership in the support of coding education and documentation adequacy.

Reviews charge information submitted by certified coders, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing is being performed in an accurate and timely manner and is supported by documentation.

Analyzes billing trends to identify areas needing improvement and prepares regular reports on review findings to appropriate committees.

Manages special projects individually or in collaboration with other departments.

Track coding quality and documentation improvements to measure ROI, organizational growth and to support revenue cycle initiatives.

Shift: First Shift
Time Type: Full time
Scheduled Weekly Hours: 40

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
All Bronson employees are required to be fully vaccinated against Covid-19 prior to their start date and wear a mask at all times while working on-site.

Education:

• High school or equivalent (Required)

Experience:

• E/M and surgical coding: 3 years (Required)

License/Certification:

• CPC or CCS-P certification (Required)

Work Location: One location

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