This job has expired

Physician Coding Quality Analyst

Employer
Stanford University
Location
Stanford

View more

Administrative Jobs
Institutional & Business Affairs, Health & Medical Services
You need to sign in or create an account to save a job.

Job Details



Physician Coding Quality Analyst
School of Medicine, Redwood City, California, United States

Schedule: Full-time
Job Code: 4122
Employee Status: Regular
Grade: J
Requisition ID: 90540

The Department of Psychiatry in the School of Medicine is seeking a Physician Coding Quality Analyst to join the Clinical Finance team to review medical documentation for appropriate CPT coding and documentation, and provide physician training as needed.

This position serves as the physician coding quality analyst for the Department of Psychiatry, the third largest department in the School of Medicine. This individual will be responsible for the development and delivery of training programs for faculty and staff to increase knowledge and skills related to the revenue capture cycle with the goal of maximizing revenue in a cost-effective manner that is in compliance with federal/state and payer-specific billing requirements. The analyst is responsible for the identification, analysis and recommendations for resolution of issues and outstanding problems pertaining to coding and charge capture. The individual will perform audits of documentation and coding of inpatient and/or outpatient professional fee services and will also be the Department's liaison with both the SHC and LPCH Professional Revenue Cycle group and School of Medicine Compliance.
  • This position represents faculty billing and is an advocate for efficient billing and procedures.
  • This position will also be involved in our Clinical Outreach and ensure that all bills are accurately going through the SHC, SoM, LPCH billing cycle.
  • Work with Compliance to ensure proper coding and results will be accurate and defensible.
  • The primary role of this position is to continue to meet and train our Faculty of the latest CPT codes
  • Perform audits of documentation & coding of inpatient and/or outpatient professional fee services;
  • Analyze results & identify patterns, trends & variations in coding & documentation practices;
  • Prepare reports of findings and recommendations for improvement for internal review and appropriate distribution (Department Chair, Division Chiefs, Section Chiefs, Clinic Chiefs, DFA, Director of Finance, etc.)
  • Using the UHC Faculty Practice Solutions Center (FPSC) billing data, work closely with Department Clinical Finance team to identify divisions' and/or individual physicians' who are coding outside the norm;
  • Identify operational deficiencies and target revenue enhancement opportunities.

SHC and LPCH Revenue Cycle/Information Systems (IS) Liaison
  • Track provider enrollment progress for new physicians. Ensure that all new physicians have a billing number on a timely basis;
  • Coordinate updates of paper billing forms and work with IS to ensure that electronic billing forms incorporate the most up-to-date billing codes;
  • Work with SHC and LPCH Revenue Cycle leadership and division faculty to improve efficiency and timeliness of billing sheet submission.

EDUCATION & EXPERIENCE (REQUIRED):

Bachelor's degree and five years of relevant experience, or combination of education and relevant experience.

Certification in either CPC, CPMA, and/or CEMC

KNOWLEDGE, SKILLS AND ABILITIES (REQUIRED):
  • Demonstrated ability to establish priorities, manage shifting priorities, and handle numerous time-sensitive projects with multiple deadlines.
  • Ability to accomplish goals working through formal and informal channels, with diplomacy and tactfulness.
  • Demonstrated creativity, problem solving, critical analysis, initiative, judgment and, decision-making skills.
  • Demonstrated ability to develop and meet department goals.
  • Demonstrated solid planning and organizational skills.
  • Demonstrated experience working independently and as part of a team.
  • Excellent interpersonal, written and oral communication skills.
  • Strong relevant subject matter knowledge.

CERTIFICATIONS & LICENSES:

Certification in either CPC, CPMA, and/or CEMC

DESIRED QUALIFICATIONS:
  • Ability to apply critical thinking skills to coding policy interpretation and implementation
  • Work independently; well-organized and able to set priorities with minimal direction
  • Effectively communicate both verbally and in writing
  • Strong PC skills; Excel, Word, PowerPoint and internet based program

PHYSICAL REQUIREMENTS*:
  • Constantly perform desk-based computer tasks.
  • Frequently stand/walk, sitting, grasp lightly/fine manipulation.
  • Occasionally use a telephone.
  • Rarely lift/carry/push/pull objects that weigh 11-20 pounds.


To be considered for this position please visit our web site and apply on line at the following link: stanfordcareers.stanford.edu

Stanford is an equal opportunity employer and all qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.







Copyright ©2021 Jobelephant.com Inc. All rights reserved.

Posted by the FREE value-added recruitment advertising agency


jeid-2d67c640a400a74eb3cebb435625266a

Organization

Change the world. And yourself.

Stanford University has changed the world, over and over again.

We are one of Silicon Valley's largest employers - and also one of the most unique. Our mission is to educate future leaders and promote interdisciplinary, world-class research and teaching. This passion makes Stanford an intensely creative, rewarding, and challenging place to work. At the same time, our traditions of respect and collaboration sustain a humane, supportive environment in which to pursue your life and your career. 

At Stanford you'll work with bright, diverse, dedicated people. You'll find encouragement to learn and grow. You'll enjoy excellent benefits and an outstanding environment.

Stanford Facts at a Glance

Opened 1891

Student Enrollment

  • Undergraduates: 6,980
  • Graduates: 8,897

Campus

  • 8,180 contiguous acres in six governmental jurisdictions
  • Nearly 700 major buildings
  • 97% of undergraduates live on campus

Research

  • 5,300 externally sponsored projects
  • $1.33 billion total budget

Faculty

  • 2,043 faculty members
  • 21 Nobel laureates are currently members of the Stanford community
  • 5:1 student to faculty ratio

Stanford University is an Equal Employment Opportunity and Affirmative Action Employer and is committed to recruiting and hiring qualified women, minorities, protected veterans and persons with disabilities.

Find Us
Location
United States
You need to sign in or create an account to save a job.

Get job alerts

Create a job alert and receive personalised job recommendations straight to your inbox.

Create alert