EHR Coding Revenue Integration Consultant

Company: The Southeast Permanente Medical Group, Inc.


General Information
  • Job Type: Full-time
  • Location: Atlanta, GA
  • Educational Requirements: Bachelors Degree
Qualifications:

Primary Duties and Responsibilities: 

The EHR Coding Revenue Integration Consultant is responsible for:

1 – Perform root cause analysis of issues around physician ordering, coding, and revenue capture; develops cross-application solution design (system and/or workflow based).

2 - Evaluate HealthConnect (Epic) configuration for optimization of procedure ordering and revenue capture as it relates to EpicCare Ambulatory, ASAP, Radiant, Cerner, and Resolute.

3 - Collaborate with Revenue Cycle, Nurses, Physicians, & HealthConnect (Epic System) leaders to optimize KP's success by ensuring optimal system configuration for complete and accurate data flow.         

4-Serve as liaison to the HIMS Coding Manager to facilitate the creation of needed procedure and diagnosis codes to support Physician workflows. 

Minimum Education and Experience Requirements:

  • Bachelor’s Degree or a combination of equivalent related education and work experience
  • Working knowledge of medical terminology, anatomy and pathophysiology
  • 5 years of professional experience in a health care provider or health plan setting (or 3 years with MBA/MHA/equivalent master degree), which include 3 years of coding / revenue cycle operations
  • 5 years of healthcare coding experience (ICD9, ICD10, CPT, HCPCS, etc)
  • 5 years of professional experience working in an EMR system with focus on the coding and billing configuration
  • Must be able to review and analyze data from all aspects of the revenue cycle, including vendor contracts, charge masters, procedures, and claims
  • Must understand the business flow in the front end revenue cycle, and help customers to refine and improve their process
  • Proven ability to conduct detailed analyses to draw conclusions, and develop pertinent and insightful recommendations
  • Knowledge of Medical Records documentation guidelines - 1997
  • Demonstrated ability to work well with physicians, nurses and teams
  • Demonstrated in-depth knowledge of ICD-9-CM and CPT-4 Coding systems and knowledge of HCPCS Level II coding system required
  • Working knowledge of medical terminology, disease processes, and pharmacology
  • Coding Certification through the American Health Information Management Association as a CCS-P or RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator) and/or through the American Academy of Professional Coders as a CPC
  • Highly organized, self-motivated individual who can work independently with minimal supervision

Preferred Education and Experience:

  • Bachelor’s Degree in Health Information Management Systems, Health Management, Informatics or a related field
  • Five or more years experience in the coding field.  Additional experience in reimbursement and/or billing functions will be valuable
  • Epic EpicCare Ambulatory and/or Resolute certification
  • 6 or more years of professional experience in a health care provider or health plan setting (or 3 years with MBA/MHA/equivalent master degree), which include 3 years of coding / revenue cycle operations
  • 6 or more years of healthcare coding experience (ICD9, ICD10, CPT, HCPCS, etc)
  • 3 or more years of experience working with EpicCare Ambulatory and Epic PB system
  • Demonstrated experience working with application teams and business end users to solve complex EMR system issues
  • Experience with understanding how to trend reports generated by the EMR to track root cause issues
  • Knowledge of governmental standards and guidelines applicable to coding and billing
  • Knowledge and/or work experience with Convergent Medical Terminology (CMT)
  • Expertise in Microsoft office suite 
  • May also have other credentials or other specialized certifications to demonstrate advancement eligibility and subject matter expertise as approved by management.

Required Licensure, Certification, Registration or Designation:

  • ICD10 coding certification
  • Coding Certification through the American Health Information Management Association as a CCS-P or RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator) and/or through the American Academy of Professional Coders
  • Certified Professional Coder :  CPC or CCS-P

We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug/nicotine-free workplace and perform pre-employment substance abuse testing.

  

 

 

How to Apply: www.tspmg.com