Profee Hospital Surgical CoderApply Now
Xtend is 100% focused on healthcare. Our expertise includes customer service solutions for both private sector healthcare providers and public health authorities. By joining forces with Navient, a leading provider of business processing solutions, Xtend brings efficiencies to the healthcare space that have been honed and optimized in the financial services sector. Today, we have more than 3,200 revenue cycle and public health professionals located in three service centers (Nashville, TN; Muncie, IN; and Irving, TX), co-located with customers nationwide, and with our partner organizations offshore.
Xtend Healthcare is looking for a Profee Hospital Surgical Coder who is responsible for accurately coding (ICD-10-CM, CPT, if applicable, Level I & II modifiers, if applicable) at least one of the following service types in Group 1 and at least two of the types in Group 2 or 3 years’ experience in coding edit and denials resolution. Will be working with multiple facility specific, state billing and coding guidelines as well as various Medicare Administrative Contractors nation-wide. Group 1: outpatient facility emergency room, outpatient surgery, observation Group 2: outpatient facility ancillary, recurring therapy, clinic, professional services
1. Project Work.
- Profee Hospital Surgical Coder (ER, OPS, OBS, Ancillary, Recurring Therapy, Clinic, etc.).
- Professional Coding.
2. Record Keeping.
- Completion of Masterlog of accounts coded daily.
- Completion of Time Allocation reports daily.
- Identifies trends and reports to Coding Manager.
- Identifies daily work queue.
- Identifies potential issues or errors.
4. Customer Service.
- Client liaison to communicate account inquiries.
- High School Diploma
- Minimum of three years of experience with production coding in service types included in Group 1. This should include hospital and physician practice.
- Coding Certifications: The following are recognized professional certifications: Certified Professional Coder (CPC); Certified Outpatient Coder (COC); Certified Inpatient Coder (CIC); Certified Coding Specialist (CCS); or Certified Coding Specialist – Physician (CCS-P). Coding Specialist II coders are required to possess at least one of the above professional services coding certifications. Continuing Education Requirements: Medical coders shall maintain the required continuing education hours in order to maintain current and proper national certification(s) requirements for this position.
- Pass a pre-employment coding test that is provided, developed and administered by candidate management instructions
- An understanding of healthcare billing practices and compliant claims preparation for both governmental and commercial payers.
- Revenue Cycle Certifications: The following are recognized professional certifications: Certified Professional Account Representative (CPAR), Certified Revenue Cycle Representative (CRCR) or Certified Professional Biller (CPB).
- Electronic health record (EHR) expertise, including knowledge of a variety of vendors.
- Specialty Coding Certifications: The following are recognized professional certifications: Ambulatory Surgical Center (CASCC), Anesthesia and Pain Management (CANPC), Cardiology (CCC), Cardiovascular and Thoracic Surgery (CCVTC), Chiropractic (CCPC), Dermatology (CPCD), Emergency Department (CEDC), Evaluation and Management (CEMC), Family Practice (CFPC), Gastroenterology (CGIC), General Surgery (CGSC), Hematology and Oncology (CHONC), Internal Medicine (CIMC), Interventional Radiology and Cardiovascular (CIRRC), Obstetrics Gynecology (COBGC), Orthopedic Surgery (COSC), Otolaryngology (CENTC), Pediatrics (CPEDC), Plastics and Reconstructive Surgery (CPRC), Rheumatology (CRHC), Surgical Foot & Ankle (CSFAC), and Urology (CUC).
- Ability to function independently and as a team player in a fast-paced environment required. Responding to emails timely is a requirement. Knowledge of computing observation hours, when applicable.
- Knowledge of coding infusions and injections, when applicable
- Knowledge of surgical coding.
- Must be able to maintain the company accuracy rating of 95%.
- Must meet set weekly quota for productivity. This is a production coding environment and very fast paced.
- Knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT) including E&M.
- Resolution of coding related edits and denials (NCCI, NCD, LCD, MUE) with appropriate modifier application.
- Knowledge of reimbursement systems, including Prospective Payment System (PPS); Ambulatory Payment Classifications (APCs).
- Must possess a working knowledge of Medicare and Local Medical Review Policy Guidelines, when applicable. Practical knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.
- Practical knowledge of medical specialties; medical diagnostic and therapeutic procedures; ancillary services (includes, but is not limited to, Laboratory, Occupational Therapy, Physical Therapy, and Radiology).
- Make well-informed, effective, and timely decisions, even when data are limited or solutions produce unpleasant consequences; perceives the impact and implications of decisions.
- Utilize medical computer software programs to abstract, analyze, and/or evaluate clinical documentation and enter/edit diagnosis, procedure codes and modifiers.
- Clearly express information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information. Speaking and writing (specifically email) in an organized manner is required.
- Display courtesy, empathy, and tact, developing and maintaining effective relationships with others; effectively work with individuals who are difficult, hostile, or distressed to resolve differences; and be able to relate well to people from varied backgrounds and in different situations.
- Work with internal and external customers to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations.
- Contribute to maintaining the integrity of the organization; display high standards of ethical conduct and understand the impact of violating these standards on an organization, self, and others.
- Be open to and embrace change and new information; adapt behavior or work methods in response to new information, changing conditions, or unexpected obstacles; effectively deals with uncertainty. Cooperate by willingly accepting new assignments and forming relationships with customers/co-workers/supervisors.
- A high level of effort and commitment towards performing the work, using efficient learning techniques to acquire and apply new knowledge and skills; uses training, feedback, or other opportunities for self-learning and development.
- Understand and interpret written material, including technical material, rules, regulations, instructions, reports, charts, graphs, or tables; applies what is learned from written material to specific situations. Working Excel knowledge.
- Attention to detail and completeness with a thorough understanding of government rules and regulations, medical coding and reimbursement guidelines, and potential areas of risk for fraud.
- Work planning is necessary in being able to understand assignments and establish priorities. It is required that each coder be able to look at his/her workload and determine priorities for the day.
All offers of employment are contingent on standard background checks. Navient and certain of its affiliated companies are federal, state and/or local government contractors. Should this position support a Federal Government contract, now or in the future, the successful candidate will be subject to a background check conducted by the U.S. Government to determine eligibility and suitability for federal contract employment for public trust or sensitive positions. Positions that support state and/or local contracts also may require additional background checks to determine eligibility and suitability.
EOE Race/Ethnicity/Sex/Disability/Protected Vet/Sexual Orientation/Gender Identity. Navient Corporation and its subsidiaries are not sponsored by or agencies of the United States of America.
Navient is a drug free workplace.
Comprehensive Health, Dental and Vision Plans
401K with Company Match (after 6 months)
Generous PTO Starting at 15 Days and 8 Paid Holidays
Paid Parental Leave and Adoption Assistance
Employee Stock Purchase Plan