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Emory Healthcare/Emory University Billing Compliance Manager in Atlanta, Georgia

Description

JOB DESCRIPTION:

  • Serves as a resource to Emory Healthcare on documentation, coding, billing and reimbursement rules.

  • Develops curriculum, coordinates, and conducts training for hospital staff and professional healthcare providers.

  • Reviews professional and hospital charges by comparing medical record documentation to encounter and or other charge forms and bills by applying appropriate CPT and ICD-9CM coding and governmental guidelines.

  • Formulates recommendations based upon the findings and communicating them to the appropriate personnel.

  • Performs other related duties as required.

MINIMUM QUALIFICATIONS:

  • A bachelor's degree.

  • Six years of experience in CPT and ICD-9CM coding.

  • Certified as a coding specialist (CCS), coding specialist physician (CCSP), procedural coder - hospital (CPC-H), or certified procedural coder (CPC).

  • Additional experience may considered in lieu of a degree.

  • Experience in an academic medical center preferred.

PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock , Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation , Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

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Division Emory Healthcare Inc.

Campus Location Atlanta, GA, 30345

Campus Location US-GA-Atlanta

Department EHI Patient Financial Services

Job Type Regular Full-Time

Job Number 93362

Job Category Revenue Cycle & Managed Care

Schedule 8:30a-5p

Standard Hours 40 Hours

Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.

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