• Provide coding of medical records and any applicable supporting documentation • Codes records to assign ICD-10, CPT, and modifiers in accordance with coding guidelines • Meets quality and productivity standards and deadlines/turnaround times • Assigns indicated account and claim data attributes as indicated (POS, revenue code, implant pricing) • Demonstrates thorough understanding of how work impacts the project/end customer • Recognize, interpret, and evaluate inconsistencies, discrepancies, and inaccuracies in the medical data received, and appropriate alerts and/or queries indicated by the party or supervisor • Reviews and correctly responds to AR tasks related to pre-claim edits pertaining to coding and post-submission denials • Demonstrates a good rapport and works to establish cooperative working relationships with all members of the team • Demonstrates willingness and flexibility in working additional hours or changing hours whenever required between normal business hours • To ensure the security and confidentiality of all clinical data handled, including the safekeeping of all health records • To function as the first point of contact regarding coding issues • To promote the interchange of dialogue between nimble management and coders • To have an active involvement in the development and implementation of current information relevant to medical/surgical coding • To be aware of all statutory and local requirements regarding coding policy changes • Assist with client billing questions in a professional and timely manner • Complete coding queues and AR queries as assigned • Address client concerns in a prompt and professional manner • Participate in task force committees and special projects, as required • Assist with client audits, as needed

The Part-Time Coding Advocate will handle medical coding and data entry / abstraction for various types of Hospital visits: Inpatient, Outpatient, Ambulatory, Surgery, Emergency and Special Procedures. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: - Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate assignment of the DRG. - Outpatient: Correctly assigns modifiers to chargemaster items and coder assigned CPT codes as applicable to outpatient coding, as appropriate. - Outpatient Surgery: Correctly assigns CPT codes to outpatient procedures consistent with client contract and documentation in the record. - Emergency Room: Correctly assign diagnosis codes, assign appropriate E&M facility and/or profee levels, assign infusion and injection CPT codes. - Ability to create compliant physician queries. - Accurately review claims for medical necessity. - Update problem lists consistent with client contract. - Correctly assign present on admission indicators. - Ability to provide excellent customer service to our clients and teammates. - Consistently demonstrates an excellent attitude, and works to strengthen the team as a whole. - Floats between multiple sites, and coding specialties with ease and flexibility. Minimum Requirements: Education/Experience/Certification Requirements - 2 year degree or equivalent experience; AHIMA or AAPC certification required - Actively holds one or more of the following credentials: RHIA, RHIT, CCS, CPC, COC - Minimum of 1 year experience coding inpatient/facility - CABG/Heart Cath accounts - Meets or exceeds Quality and Productivity standards. - Excellent communication (written and oral) and interpersonal skills. - Strong organizational, multi-tasking, and time-management skills. - Must be detail oriented and able to follow through on issues to resolution. - Must be able to act both independently, and as a team member. - Excellent communication (written and oral) and interpersonal skills. - Strong organizational, multi-tasking, and time-management skills. - Must be detail oriented and able to follow through on issues to resolution. - Must be able to act both independently and as a team member. Preferred Qualifications: - 2+ years of coding experience in multiple patient types - Experience coding and charging injections and infusions Business Support

• Monitor, review and apply correct coding principles to clinical information received from ambulatory areas for the purpose of reimbursement, research and compliance. • Identify and apply diagnosis codes, CPT codes and modifiers as appropriately supported by the medical record in accordance with federal regulations. • Ensure that billing discrepancies are held and corrected. • Compare and reconcile daily patient schedules/census/registration to billing and medical records documentation for accurate charge submission, which includes (but not limited to) processing of professional charges, facility charges and manual data entry. • Maintain records to be used for reconciliation and charge follow up. • Investigate and resolve charge errors. • Meet coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care. • Manage professional held claims within the CCF claims processing system. • Review, abstract and process services from surgical operative report. • Review, communicate and process physician attestation forms. • Communicate with physicians and other CCF departments (co-surgery) to resolve documentation discrepancies. • Assist with Evaluation and Management (E&M) audits and other reimbursement reviews. • Review and resolve E&M denials within the denial database. • Capture appropriate charges in accordance with CMS billing rules and regulations.

Inspire health. Serve with compassion. Be the difference. Job Summary Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Accountabilities - Interviews patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information. Enters accurate information into computer database, accesses Sovera to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines. Follows up for incomplete and missing information. - 40% - Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third party payor. Information obtained through insurance verification must always be documented in the system. Assigns appropriate insurance plan from the third party database; ensures insurance priorities are correct based on third-party requirements/ COB. Initiates pre-certification process as required according to Departmental Guidelines; obtains signed waiver for cases where pre-certification is required but not yet obtained. - 20% - Obtains necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, and Waiver Letter. - 10% - Receives payments and issues receipts, actively working toward collection goals. Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures. - 10% - Prepares and distributes appropriate reports, documents, and patient identification items as required. This includes, but is not limited to, Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, Medicare Booklet, schedules, productivity logs, monthly collection reports, patient armbands, patient valuables, etc. - 10% - Communicates to patients their estimated financial responsibility. Requests payment prior to or at the time of service. Refers patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to appropriate program. - 10% Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements High School Diploma or equivalent or post high school education 2 years- Admissions, Billing, Collections, Insurance and/or Customer Service Other Required Skills and Experience Basic computer skills Knowledge of office equipment (fax/copier) Word Processing Spreadsheets Database Data Entry Mathematical Skills Registration and scheduling experience- Preferred Familiarity with medical terminology- Preferred Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019073 PreAccess Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.