Job Description
Summary of Position
This position is responsible for auditing, training and monitoring of medical information and the quality of coding and provider documentation for Premier HealthNet, Premier Health Specialists and Upper Valley Professional Corp collectively known as The Premier Physician Network (PPN). This position will report directly to the PPN Clinical Documentation Improvement (CDI) & Coding Quality Manager.
Nature and Scope
The Coding Analyst is responsible for the research, training, and follow-up of coding and provider documentation compliance which affect the operations and reimbursement of the Network. The Coding Analyst will act as an on-call resource; conduct physician and staff training with regard to coding and documentation compliance, and chart audits. This Analyst will consult with CDI & Coding Quality Manager regarding documentation issues and practice patterns. The candidate will interact with physicians, practice managers, office staff, corporate staff, as well as hospital based and non-hospital-based resources.
Qualifications
The candidate must demonstrate successful presentation techniques and possess excellent organizational, customer service, and both oral and written communication skills. He/She should possess a strong knowledge base of ICD-10-CM, CPT and HCPCS coding, financial analysis techniques, costing, federal and state regulatory processes, insurance billing, third party payor requirements, outcome measurements, medical information management and practice patterns. He/She should also have advanced knowledge of Microsoft 365 (Word, Excel, PPT, Teams).
Certification: CPC, CCS-P, RHIA, RHIT, or CCA. Must possess or obtain a nationally recognized coding credential from AAPC or AHIMA within 18 months of hire. Continued employment in this role is contingent upon successfully passing the credentialing exam within this timeframe.
Experience: Two (2) years experience with physician office coding.
Demonstrated working knowledge of professional billing
Experience with Epic EMR preferred
Numbers & Facts
| Location | Moraine, OH |
| Industry | Healthcare Services |
| Company Size | 10,000 employees or more |
| Year Founded | 1995 |
| Website | http://www.premierhealth.com/ |
About Company
About Premier Health Partners
Premier Health Partners (PHP) is a large health system serving southwest Ohio communities by improving the quality, affordability, and accessibility of health care.
PHP Mission and Legacy for Better Health Care
The PHP Mission and Legacy has always been to provide the most comprehensive, affordable and accessible health services and products for the betterment of health care in southwest Ohio. When you know more about our mission, vision, and values, and read about the success stories in our history; you’ll know why we’re the first choice for patients, physicians and employees in southwest Ohio.
PHP Hospitals
Our members include more than 65 member locations throughout southwest Ohio, including four hospitals:
As part of our mission to bring quality health care closer to the people we serve, we’ve expanded our services through comprehensive health centers:
Find out how to donate or volunteer to impact the quality of health care at PHP and our member organizations. PHP has foundations to which you can make donations to improve the health care technology and facilities available to your community. You can also help by volunteering at our hospitals or health centers.
PHP Vendor and Supplier Information
Whether you’re currently a vendor working with PHP or a supplier interested in joining our partnership, you’ll find helpful information in our vendor and supplier section.
Serving the Community
PHP is dedicated to serving the community by making it our priority to bring quality, affordable health care choices closer to you. To make this happen, PHP created Premier Community Health, a non-profit organization dedicated to creating a healthier community through prevention, early detection, and disease management. PHP’s investment in the 23 communities we serve includes building health service centers, bringing health programs to the community, as well as being one of the largest employers in the area. We also are committed to helping the under-served of our community by providing financial aid, free services, and pre ions to people in need. We also believe in being a good neighbor by getting involved in numerous community programs and charities. And, as part of our effort to build healthier communities, we have implemented a system-wide ban on tobacco.
Learn more about how we serve the community.
Awards and Recognition
Read About Our Awards and Recognition.
Premier Health Partners (PHP) is a large health system serving southwest Ohio communities by improving the quality, affordability, and accessibility of health care.
PHP Mission and Legacy for Better Health Care
The PHP Mission and Legacy has always been to provide the most comprehensive, affordable and accessible health services and products for the betterment of health care in southwest Ohio. When you know more about our mission, vision, and values, and read about the success stories in our history; you’ll know why we’re the first choice for patients, physicians and employees in southwest Ohio.
PHP Hospitals
Our members include more than 65 member locations throughout southwest Ohio, including four hospitals:
- Good Samaritan Hospital Dayton
- Miami Valley Hospital
- Atrium Medical Center
- Upper Valley Medical Center
As part of our mission to bring quality health care closer to the people we serve, we’ve expanded our services through comprehensive health centers:
- Good Samaritan North Health Center in Englewood
- Miami Valley South Hospital in Centerville
Find out how to donate or volunteer to impact the quality of health care at PHP and our member organizations. PHP has foundations to which you can make donations to improve the health care technology and facilities available to your community. You can also help by volunteering at our hospitals or health centers.
PHP Vendor and Supplier Information
Whether you’re currently a vendor working with PHP or a supplier interested in joining our partnership, you’ll find helpful information in our vendor and supplier section.
Serving the Community
PHP is dedicated to serving the community by making it our priority to bring quality, affordable health care choices closer to you. To make this happen, PHP created Premier Community Health, a non-profit organization dedicated to creating a healthier community through prevention, early detection, and disease management. PHP’s investment in the 23 communities we serve includes building health service centers, bringing health programs to the community, as well as being one of the largest employers in the area. We also are committed to helping the under-served of our community by providing financial aid, free services, and pre ions to people in need. We also believe in being a good neighbor by getting involved in numerous community programs and charities. And, as part of our effort to build healthier communities, we have implemented a system-wide ban on tobacco.
Learn more about how we serve the community.
Awards and Recognition
Read About Our Awards and Recognition.
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