• Prepare and organize medical billing documentation to ensure accurate and timely claim submission • Review patient records for completeness and accuracy prior to billing • Accurately enter and update billing data in the system and internal tracking tools • Support billers and coders by ensuring all required documentation is complete and readily available • Verify insurance information and identify discrepancies for escalation to the billing team • Monitor claim status and maintain updated records in internal systems • Assist in resolving minor claim issues and escalate complex concerns to billers or coders as needed • Generate detailed reports on pending, in-progress, and completed tasks • Perform other duties as assigned by the immediate supervisor

Role Description The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder may interact with client staff and providers. - Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type. - Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record. - Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected. - Complete assigned work functions utilizing appropriate resources. May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries. - Maintain strict patient and provider confidentiality in compliance with all HIPPA Guidelines. - Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required. - Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing. - Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials. Qualifications - Candidates must successfully pass pre-employment skills assessment. - An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential. - Two years of recent and relevant hands-on coding experience. - Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets. - Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards. - Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files (Outlook, Word, Excel). - Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers. Requirements - Recent and relevant experience in an active production coding environment strongly preferred. - Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience. - Experience using RCX Cerner, Optum (a plus). Benefits - Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $22.08 - $34.69 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills. Company Description Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Role Description The Coding Supervisor supervises the charge posting & coding workflow; monitors employee performance; addresses complaints and resolves problems; and actively oversees and supervises production and quality control efforts. This position monitors charge poster & coder compliance with national coding guidelines and NGHS coding policies for complete, accurate and consistent coding that result in appropriate reimbursement and data integrity. Works with the team to ensure minimal variation in charge posting & coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments. Provides charge poster & coder specific education based on review findings and trends. Qualifications - Licensure or other certifications: RHIA, RHIT, CCS, CCS-P, or CPC and an approved specialty credential required. Candidates with only a CPC must attain an additional credential within 6 months of hire. - Educational Requirements: High School Diploma or GED. - Minimum Experience: Minimum five (5) years acute care inpatient/outpatient coding experience required. Preferred Job Qualifications - Preferred Licensure or other certifications: Not specified. - Preferred Educational Requirements: Bachelors degree in HIM/HIT. - Preferred Experience: Leadership experience in healthcare related field. Minimum three (3) years coding auditing/monitoring experience strongly. Job Specific and Unique Knowledge, Skills and Abilities - Coding Technical skills - Extensive regulatory coding (ICD-9-CM, CPT-4, ICD-10-CM and ICD-10-PCS as applicable to transition to ICD-10) and associated reimbursement knowledge. - Analytical skills – Ability to analyze trends in data and determine root cause and address as appropriate. - Effective Decision Making – Relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values. - Initiative – Independently takes prompt proactive steps toward problem resolution. - Organization – Establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task. - Communication - Communicates clearly, proactively and concisely with all key stakeholders. - Leadership - Leads individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services. - Customer orientation - Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. - Policies & Procedures - Articulates knowledge and understanding of organizational policies and procedures. - PC skills - Demonstrates proficiency in Microsoft Office applications and others as required. - Quality Orientation – Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. - Work Independently – Is self-supporting; not needing to rely on others to complete a job. - Building and Maintaining Strategic Working Relationships – Develops collaborative relationships to facilitate the accomplishment of work goals. Possesses good interpersonal skills in building, negotiating, and maintaining crucial relationships. - Managing conflict – Dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people. - Mentor and Educate – Provides timely guidance and feedback to help strengthen the knowledge/skill set of others to accomplish a task or solve a problem. Essential Tasks and Responsibilities - Provides direct supervision/oversight to Coding Quality Reviewers for management of inpatient and outpatient coding functions, work queues, work processes, and overall work responsibilities. - Exports data from EPIC into excel based data tracking models to monitor productivity and provide timely and consistent feedback to employees and Coding Manager/Director. - Creates and prepares coding benchmarking, charge posting & coding productivity, charge posting & coding quality, and coding productivity reports for the Coding Manager/Director. - Assists Coding Manager/Director in the review and improvement of processes and services. - Coordinates charge poster & coder training and orientation of staff, along with the development of coding tools, resources and education materials. - Coaches, facilitates, solves work problems, and participates in the work of the team. - Ensures charge posting & coding staff adherence with coding guidelines and policy. - Assures accounts that cannot be coded are held for valid reasons and documented accurately. - Assists in strategic planning and budgeting of the coding quality review function. - Communicates effectively with leadership, physicians, and team relating to potential compliance risks and to mitigate damages and resolve related issues. - Manages, leads and participates in interdepartmental/multidisciplinary team meetings, committees(s). - Ensures charge posting & coder compliance with regulatory coding compliance educational requirements and NGHS polices. - Initiates physician queries in compliance with coding guidelines where appropriate. - Reviews all official data quality standards, coding guidelines, NGHS policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current. - Practice and adheres to the “Coding Code of Ethics” and NGHS “Mission and Value Statement.” - Meets all educational requirements as stated in NGHS policy. - Occasionally provides back up for coders. - Other duties as assigned. Physical Demands - Weight Lifted: Up to 50 lbs, Occasionally 0-30% of time. - Weight Carried: Up to 50 lbs, Occasionally 0-30% of time. - Vision: Moderate, Frequently 31-65% of time. - Kneeling/Stooping/Bending: Occasionally 0-30% of time. - Standing/Walking: Occasionally 0-30% of time. - Pushing/Pulling: Occasionally 0-30% of time. - Intensity of Work: Frequently 31-65%. - Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding. Company Description Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

Role Description This role will have all responsibilities of coding assistant, coder I and II plus the following: - Assist with special projects as requested. - Assist with training other coders as requested. - Monitor and respond to accounts in the charge router, charge router messages, CRMs, Compliance and Integrity review requests. - Adhere to organizational and internal department policies and procedures to ensure efficient work processes. - Review complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals, and hospitals to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. - Assign and ensure correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. - Serve as subject matter expert in your assigned specialty and actively participate in the Coding meetings as a problem solver. - Expertise in query guidelines and coding standards. - Follow up and obtain clarification of inaccurate documentation as appropriate. - Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics. - Knowledgeable in researching coding-related topics and issues. - Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. - Practice ethical judgment in assigning and sequencing codes for proper insurance reimbursement. - Maintain the confidentiality of patient records. - Report any perceived non-compliant practices to the coding leader or compliance officer. - Meet and exceed departmental quality (95% or more) and productivity standards (100%). - Achieve productivity expectations to support discharged not final billed (DNFB). - Perform any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. - Assist in the production of annual edit review based on CPT, ICD, and HCPCS changes as well as assist in development of edits based on publications and society updates. - Answer and prioritize correspondence at all levels e.g., coding assistants, coders, leads, supervisors, and managers. Qualifications - Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). - Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge). - Typically requires 5 years of experience in professional coding that includes experiences in professional revenue cycle processes and health information workflows. Requirements - Proficient in Microsoft Office, Word, Excel, and PowerPoint. - Advanced knowledge and understanding of anatomy, physiology, medical terminology, pathophysiology, and is able to apply these sciences to accurately assign codes to cases including surgical cases. - Demonstrates knowledge of National Council on Compensation Insurance, Inc (NCCI) edits, and local and national coverage decisions. - Expert knowledge and experience in ICD-10-CM, CPT, and 3M Encoder. - Expert knowledge and experience in ICD-10-CM and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Payment Classifications (APC). - Advanced knowledge of pharmacology indications for drug usage and related adverse reactions. - Expert knowledge of coding workflow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems. - Excellent communication and reading comprehension skills. - Demonstrated analytical aptitude, with a high attention to detail and accuracy. - Experienced with remote workforce operations required. - Strong sense of ethics. Benefits - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training. - Premium pay such as shift, on call, and more based on a teammate's job. - Incentive pay for select positions. - Opportunity for annual increases based on performance. - Paid Time Off programs. - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability. - Flexible Spending Accounts for eligible health care and dependent care expenses. - Family benefits such as adoption assistance and paid parental leave. - Defined contribution retirement plans with employer match and other financial wellness programs. - Educational Assistance Program.