Niagara Health Corporation
At Mount Carmel, we provide our colleagues with the support and learning opportunities they need to truly grow and thrive. This commitment to professional excellence is just one way in which we're empowered to make a meaningful difference in the lives of our patients and communities.
Excellence in care takes the dedication and commitment of not only our front-line care teams, but of the specialized professionals that support all aspects of our mission. Colleagues in Finance, HR, Marketing and more keep Mount Carmel operating at the highest standard. And we provide leading education training and development opportunities to keep you working at yours.
The Coding & Compliance Specialist monitors and evaluates coding and documentation of Mount Carmel Medical Group (MCMG) providers. Provides feedback and education on the results of auditing and monitors the overall coding quality of coding professionals.
Bachelor's Degree in Business Administration or Associates or Bachelor's degree in Health Information Management preferred.
Licensure /Certification in coding (CPC, CCS-P, RHIA, RHIT) required.
Minimum of 1-3 years professional coding experience required.
Comprehensive knowledge of procedure and diagnostic coding for professional services and Medicare, Medicaid and other 3rd party payer coding and billing regulations.
Demonstrated knowledge of 1995 and 1997 Evaluation and Management Documentation Guidelines and other professional documentation requirements.
Responsible for monitoring the overall coding quality coding professionals within the MCMG.
Provides feedback and education.
Provides orientation to physicians and other healthcare professionals on coding and
Monitors, researches and recommends changes in response to all local, state and federal regulations pertaining to the private practice of medicine and professional services.
Maintains detail results of monitoring and auditing performed with documentation of necessary education, follow up and case specific findings.
Develops educational programs to providing ongoing training in response auditing findings or regulatory changes.
Serves as a resource for MCMG colleagues on professional coding and documentation requirements.
Elevating the standards of care begins at Mount Carmel. No matter what role you play, working with us means being a part of a team focused on excellence. Join us today!
Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, sexual orientation or physical ability.
Position Type: Full-Time Permanent
Years of Experience Required:
Niagara Health Corporation
Website : http://www.mountcarmelhealth.com
Our team of more than 10,000 employees, 1,600 physicians and 1,000 volunteers is committed to the quality care of our patients and their families. Together, we serve more than a million patients each year. And that number is certain to grow as we invest in our facilities and equipment over the next three years to transform our campuses in a way that will redefine healthcare in central Ohio. Mount Carmel is dedicated to more than just medical care. We’re dedicated to medical and nursing education and training as well, with six physician medical residency programs and Mount Carmel College of Nursing – one of the largest baccalaureate nursing degree programs in Ohio. In our effort to provide the highest-quality care, we’ve managed to provide award-winning care, too. Mount Carmel has received many local and national recognition for quality of care, associate and patient satisfaction, community involvement and philanthropy. Awards, facilities and services aside, we never forget that we’re a community-benefit ministry with a charitable mission. Each year Mount Carmel provides tens of millions of dollars in uncompensated benefits to the community. We’re also actively engaged in the community through business, civic and service organizations, and through our financial support of other not-for-profit organizations and social services agencies. Mount Carmel is a proud member of Trinity Health, one of the largest Catholic health care delivery systems in the nation.