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CommonSpirit Health CODER in DES MOINES, Iowa

Overview

MercyOne Central Iowa operates four not-for-profit, Catholic medical centers in Des Moines, West Des Moines, Newton and Centerville and two specialty hospitals – MercyOne Children’s Hospital in Des Moines and MercyOne Rehabilitation Hospital in Clive (965 beds total) – along with more than 20 additional facilities that house more than 50 primary care, pediatric, internal medicine and specialty clinics. Founded by the Sisters of Mercy in 1893, MercyOne Central Iowa has the longest continually operating hospital in Des Moines and is also one of the largest employers in the state, with more than 7,000 employees and a medical staff of more than 1,000 physicians and allied health associates. MercyOne Central Iowa is a member of MercyOne, which was founded in 1998 through a collaboration between CommonSpirit Health and Trinity Health – two of the country’s foremost, not-for-profit Catholic health organizations. MercyOne has more than 20,000 colleagues in Iowa and surrounding states.

Responsibilities

This position works in partnership with assigned clinics to review medical documentation to ensure appropriate coding and provides education to providers according to corporate, state and federal guidelines. The ideal candidate will be detailed orientated and have previous experience related to the coding role.

Qualifications

  • Monitors, evaluates and makes recommendations consistent with the various regulatory agencies to ensure clinic billing and documentation activities are compliant.

  • Completes documentation audits according to federal and state health statutes, as well as third party control provisions.

  • Educates providers and staff on appropriate documentation to accurately reflect the medical services provided.

  • Acts as resource in various committees and meetings to coordinate changes in provider auditing and coding processes.

  • Identifies compliance issues and analyzes practice patterns recommending changes to policies and procedures.

  • Maintains accuracy and completeness of provider audits in the auditing software application.

  • Interprets changes in the internal and external regulatory environment and stays current with corporate, state and federal coding updates.

  • Responds to questions from providers, managers, billing office and others related to CPT and ICD 10 coding, rules & regulations and documentation requirements.

  • Evaluates and responds to inquiries from governing bodies/regulatory agencies (i.e. ADR, RAC, CERT, and probe audits).

  • Demonstrates and applies knowledge and understanding of documentation, informatics, and nomenclatures in the medical documentation.

  • Demonstrates professional, appropriate, effective and tactful written, verbal, and nonverbal communication with medical staff, colleagues and other departments throughout MercyOne, Trinity and Common Spirit.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.

External hires must pass a post offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances .

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request . We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).

CommonSpirit Health participates in E-verify.

Requisition ID 2020-137465

Employment Type Full Time

Department Clinic Administration

Hours Per Pay Period 80

Facility MercyOne

Shift Day

Standard Hours varies

Work Schedule Varies

Location IA-DES MOINES

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