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Riverside Healthcare
KANKAKEE, Illinois
Source: Riverside Healthcare careers · View original posting
From Riverside Healthcare's posting. “We” and “our” refer to the employer.
Overview
The Professional Coding Compliance Specialist provides revenue cycle support to Riverside Medical Group and its coding team by regularly auditing provider documentation and corresponding coding to ensure correct, complete and compliant practices that fully support diagnoses reported and charges submitted for services rendered, meet regulatory and payor-specific requirements, and accurately describe the patient encounter; providing feedback and education to providers and coders based on audit results, regulatory changes, and industry
trends; assisting with orientation of new providers, residents/fellows, and new members of the coding team.
Essential Duties
Completes timely audits of assigned providers and coders for accurate, complete, and compliant ICD-10-CM and CPT/HCPCS code assignment, ensuring that documentation supports the diagnoses reported, E/M level selected, and CPT/HCPCS codes submitted for services rendered during the episodes of care reviewed
Reviews audit findings with assigned providers and coders, providing real-time education on opportunities identified and offering objective supporting documentation (e.g., current coding conventions, regulatory/payor-specific requirements, risk-adjustment guidelines, organization-specific policies) to support findings and use as reference
Collaborates with coding compliance team and provider-focused coding manager to develop and maintain current coding guidelines for Riverside Medical Group as a whole and its specialists to ensure compliance and consistency across practices and their assigned coding teams
Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so your journey at and away from work is remarkable. Our Total Rewards package includes:
Compensation
Chemicals: NA
Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Needed for presentations/training, telephone communication, facilitate meetings.
Vision: Needed to read computer screens and printouts, memos, communications, documentation, and literature.
Smell: Electrical/fire safety.
Hearing: Needed for telephone communications, meetings, and equipment operating characteristics.
Touch: Needed to write, do computer entry, filing.
Percentage of time during the normal workday the employee is required to:
Sit: 55%
Twist: 0%
Stand: 20%
Crawl: 0%
Walk: 20%
Kneel: 0%
Lift: 0%
Drive: 0%
Squat: 0%
Climb: 0%
Bend: 5%
Reach above shoulders: 0%
The weight required to be lifted each normal workday according to the continuum described below:
Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):
Putting away supplies.
Lift above the head occasionally to place boxes on high storage shelves.
Carry boxes up and down the stairs - distances up to 100 feet.
Maximum consecutive time (minutes) during the normal workday for each activity:
Sit: 30
Twist: .5
Stand: 30
Crawl: 0
Walk: 2
Kneel: 0
Lift: 5
Drive: 30
Squat: 1
Climb: .5
Bend: .5
Reach above shoulders: .5
Simple grasp up to 15 lbs.
Normal weight: continuous
Pushing &pulling Normal weight: 50-200#
Fine Manipulation: Computer Keyboard and mouse.
Repetitive use of foot or feet in operating machine control: Not Required
Protective Clothing Required: Gloves when handling blood and body fluids.
Pay Range
USD $28.83 - USD $37.13 /Hr
Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so your journey at and away from work is remarkable. Our Total Rewards package includes:
Compensation
Chemicals: NA
Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Needed for presentations/training, telephone communication, facilitate meetings.
Vision: Needed to read computer screens and printouts, memos, communications, documentation, and literature.
Smell: Electrical/fire safety.
Hearing: Needed for telephone communications, meetings, and equipment operating characteristics.
Touch: Needed to write, do computer entry, filing.
Percentage of time during the normal workday the employee is required to:
Sit: 55%
Twist: 0%
Stand: 20%
Crawl: 0%
Walk: 20%
Kneel: 0%
Lift: 0%
Drive: 0%
Squat: 0%
Climb: 0%
Bend: 5%
Reach above shoulders: 0%
The weight required to be lifted each normal workday according to the continuum described below:
Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):
Putting away supplies.
Lift above the head occasionally to place boxes on high storage shelves.
Carry boxes up and down the stairs - distances up to 100 feet.
Maximum consecutive time (minutes) during the normal workday for each activity:
Sit: 30
Twist: .5
Stand: 30
Crawl: 0
Walk: 2
Kneel: 0
Lift: 5
Drive: 30
Squat: 1
Climb: .5
Bend: .5
Reach above shoulders: .5
Simple grasp up to 15 lbs.
Normal weight: continuous
Pushing &pulling Normal weight: 50-200#
Fine Manipulation: Computer Keyboard and mouse.
Repetitive use of foot or feet in operating machine control: Not Required
Protective Clothing Required: Gloves when handling blood and body fluids.
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Employer posted: