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Revenue Integrity - Coding Validator Job
Job Number: LCS17972
Job Title: Revenue Integrity / Coding Validator
Department: Coding Revenue Cycle Edits - 0014723
Facility: Corporate Headquarters
Location: Providence, RI
Reports to the Project Director, Finance Administration. Ensures accurate claim and coding data quality, creating consistency and efficiency in inpatient and/or outpatient services through ongoing claim edit and coding validation. Develops strong intradepartmental relationships with other department personnel to ensure clear communication and prompt resolution of coding related claims edits across Lifespan affiliates. Responsible for processing claims in accordance with production, timeliness and quality standards in compliance with governmental and accrediting agency regulations.
Associate degree in health information technology (preferably with RHIT, ) and/or successful completion of coding certification program Coding certification required from the American Health Information Management Association (AHIMA (preferred) [RHIA, RHIT, CCA, CCS or CCS-P] or the American Academy of Professional Coders (AAPC) [CPC or CPC-H]. Knowledge of general claims processing principles and basic outpatient charging processes. Familiarity and understanding of the content of the medical record. Trained in medical terminology, medical science, disease processes, anatomy and physiology. Ability to recognize and understand clinical documentation pertinent for coding. Ability to navigate the electronic medical record to access and recognize appropriate data applicable to coding and billing. Computer literate; capable of researching internet websites to clarify diseases, procedures and governmental billing regulations.
Five years coding experience in an acute care facility. Past outpatient coding validation/auditing, claims edit database analysis experience, strong training background in coding or detailed knowledge of general claims processing principles, HCFA claims coding, and UB-92 claims coding preferred.