• Coding Specialist

    Job Locations US-TN-Nashville
    Category
    Business Operations
  • Overview

    Aspire Health is the largest non-hospice, community-based palliative care provider in the country. Aspire specializes in providing an extra layer of support to patients facing a serious illness through an innovative palliative care program focused on caring for patients in their homes and outpatient clinics. Aspire clinicians (e.g., physicians, nurse practitioners, physician assistants, registered nurses, social workers and chaplains) are experts in providing patients with relief from the symptoms, pain, and stress of a serious illness; helping patients and caregivers navigate the healthcare system; guiding patients and caregivers through difficult and complex treatment choices; and providing emotional and spiritual support to patients and their families.

    Responsibilities

    Under supervision of the Coding Manager, the Coding Specialist will be responsible for analyzing patient charts and abstracting necessary information to assign codes which most accurately describes the documented diagnoses and procedures according to established guidelines through the electronic medical record. The candidate will determine the final diagnoses and procedures stated by the physician or other providers are valid and complete.

     

    Responsibilities

    • Assigns ICD-10-CM, HCPCS, and CPT codes on all procedures and services performed based on clinical documentation
    • Audits records to ensure proper submission of services prior to billing on pre-determined selected charges
    • Performs a comprehensive review of the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
    • Collaborate with billing department to ensure coding is submitted in a timely manner
    • Communicate with payers regarding coding errors and disputes related to Fee-for-Service claims
    • Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. 
    • Analyze provider documentation to assure the appropriate Evaluation and Management levels are assigned using the correct CPT code
    • Perform ongoing analysis of medical record for appropriate coding compliance
    • Research and resolution of coding projects as assigned
    • Meets production goals and quality goal of averaging 95% accuracy rate
    • Based on reviews of clinical documentation, queries and provides feedback to clinicians to ensure assigned codes are supported; recognizes when vital information is missing and works with the clinician to obtain the documentation
    • Review and provides resolution of coding edits in conjunction with coding manager
    •  Maintain coding knowledge and skills through attending continuing education activities and reviewing pertinent literature, attending institutional coding meetings, AHIMA or AAPC seminars, or other educational forums.
    • Collaborate with coding manager to develop, communicate, and implement solutions/programs to address documentation problem areas identified through audits
    • Performs other related duties, which may be inclusive, but not listed in the job description

     

     

     

    Qualifications

     

    • High School diploma or equivalent required. Degree in related field; and/or relevant equivalent work experience required
    • Active certified coder certification required -RHIT or CPC
    • Excellent typing speed and accuracy
    • Must have minimum 3 years coding experience
    • Must minimum 3 years of outpatient and E/M coding experience
    • Oncology coding experience is a plus
    • Must have experience with electronic medical records
    • Experience with coding high complexity cases required
    • Must be able to pass drug screen and background check

     

    Training and Experience Required

    Remote position

    Full-time compensation is commensurate to compensation for similar positions in the region and is based on prior training and experience. Position also includes benefits.

     

    Physical Requirements

    • Ability to walk, stand, sit and/or talk on the phone and communicate in person
    • Frequent walking, standing and lifting to 30 lbs
    • Ability to speak concisely and effectively
    • Ability to interact with a diversity of people
    • Ability to work at computer for periods of time


    Position Type and Expected Hours of Work

    Main days/hours will be Monday – Friday 8:00 a.m. – 5:00 p.m. in the office.  However, there may frequent expected work on weeknight/weekends as needed. 

    This position will train onsite at the corporate office.

    Travel
    Travel is expected for this position for orientation.

    Aspire Healthcare is a proud equal opportunity employer

     

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