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in Wailuku, HI

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Hours Full-time, Part-time
Location wailuku, Hawaii

About this job

Provides documentation review, patient demographic and payor data abstracting, registration and charge entry of professional services. Ensures receipt of appropriate reimbursement and conforms to applicable guidelines and regulations. Serves as departmental coding support resource.

Essential Functions:

* Performs KPHC Professional Billing system coding charge entry and coding data abstraction.

* Performs limited coding review of level of service (CPT-4), diagnosis (ICD-9CM), and procedures (CPT-4 and HCPCS). Initiates coding review if necessary.

* Maintains knowledge of coding guidelines, updates, and regulations governing government and third party billing. Ensures coding and documentation meet regulatory guidelines and audit standards resulting in appropriate reimbursement.

* Collaborates with department coding analysts and management to communicate specific coding and documentation guidelines to fulfill internal needs for complete and consistent clinical data collection.

* Identifies patterns, trends and variations in code editing and documentation practices.

* Provides clinical data collection as assigned.

* Retrieves and photocopies documents/charts for professional services coding.

* Identifies non-plan patients. Registers patient into professional billing system. Builds guarantor shell.

* Develops and implements plans/projects to improve operational efficiency and effectiveness. Monitors and reports status and progress to supervisor.

Basic Qualifications:

Experience

* N/A

Education

* High School Diploma or General Education Development (GED) required.

License, Certification, Registration

* N/A

Additional Requirements:

* Type 35 wpm.

* 10-key by touch.

* Demonstrated knowledge of and skill in oral communication, written communication, customer service and interpersonal relations.

Preferred Qualifications:

* Minimum six (6) months of data entry experience.

* Post high school coursework in computer data entry.

* Demonstrated knowledge of and skill in word processing, spreadsheet and database applications.

* Strong in Excel and communication skills.