Coding Integrity Specialist - CPC

Meritas Health is hiring a Coding Integrity Specialist to join our Coding team in the Northland!  If you’re looking for a great opportunity to serve our community and be part of a growing organization, join our Meritas team!

Here at Meritas our mission is to provide hope and healing to every life we touch.  Whether you are serving patients at a primary care practice, specialty practice, or in a support capacity, every team member works together to complete this mission.  Joining Meritas means you are joining a family that is committed to serving our community and giving patients better quality of life. 

Reasons to Join Meritas:

• Comprehensive benefits package
• Employer match retirement plan
• Competitive wages
• Paid time off for personal/vacation/sick
• Six paid holidays per year
• Educational Assistance
• Day shift schedules

Job Description:

The Coding Integrity Specialist is responsible for monitoring coding performance to improve revenue accuracy and charge capture.  Duties include analysis of coding performance, reconciliation between visits and codes captured, review for process improvement and coder education. This position works closely with leadership to advise on areas of opportunity as discovered through report and documentation reviews.

Job Duties:

• Monitors and analyzes the coding performance of providers and the coding team to ensure complete and accurate charge capture.
• Identifies areas of opportunity for process improvement and assists in implementation through workflow and utilization of claim scrubber tools. Completes special projects within process improvement.
• Reviews assigned reports within specific areas of focus. Effectively organizes and interprets data to clearly communicate findings to leadership, coding team, providers etc.
• Works collaboratively with practice leadership and providers to communicate opportunities and educate members of the patient care team regarding documentation guidelines, coding requirements and service-line specific requirements. Communicates with coders regarding documentation clarification and accurate coding, as needed. 
• Reviews and maintains in-depth understanding of new rules and regulations related to code changes for areas of interest to the organization. Provides education on changes to others as needed.

Minimum Requirements:

• High school diploma or equivalent required, Bachelor’s degree in business, health information management, or other related field preferred.
• 2 years experience in physician office coding
• Certified Professional Coder through American Academy of Professional Coders required.
• A high level of professionalism with effective organizational, interpersonal, and communication skills. Knowledge of medical terminology, CPT/ICD coding, modifiers, and payer policies.
• Proficient with Microsoft Office products, Cerner experience a plus.

More Possibilities:

As the largest network of providers in the Northland, we can offer you more opportunities to grow. Here at Meritas, we believe that together, we will become legendary for our commitment to remarkable patient care. If you are looking to better the lives of those in our community, then join our Meritas family, where your voice counts.

Meritas Health is an Equal Opportunity Employer and values diversity in our organization. We do not discriminate against any applicant for employment or employee on the basis of race, color, religion, gender, age, marital status, sexual orientation, national origin, disability, veteran status or any other classification protected by applicable discrimination laws.