Provider Education Specialist - Healthspring - Certified Coder,
Location: Birmingham Alabama
Description: Cigna is currently seeking to employ Provider Education Specialist - Healthspring - Certified Coder, right now, this position will be placed in Alabama. Detailed specification about this position opportunity kindly read the description below. Job Description
The Provider Education Specialist is responsible for providing education and training to! physician groups/offices on correct coding initiatives, reporting on findings resulting from chart audits, ensuring accurate data entry for CMS submission, and providing education and training to physician groups/offices on correct coding initiatives. This specialist may also extract codes from plan tools (360 exams and Health Management Reports) and provider charts and enter into electronic systems for data capture.
This specialist ensures policies and procedures are monitored and updated to include regulatory changes and conducts training/education of physicians and/or physician offices through one-on-one and mass communications/presentations. The Provider Education Specialist must be available for day and evening off-site and telephonic training/education. .
Requirements
Minimum Requirements:
At least two years’ of hospital inpatient / outpatient or medical office coding experience is required.
Coding certification is req! uired and may include the following:
Certified Profes! sional Coder (CPC),
Certified Coding Specialist for Providers (CCS-P),
Certified Coding Specialist for Hospitals (CCS-H),
Registered Health Information Technician (RHIT),
Registered Health Information Administrator (RHIA), or nursing medical background.
Additional responsibilities include:
Extensive knowledge of ICD-9-CM and/or CPT coding principles and guidelines (Diagnostic coding experience is highly preferred)
Familiarity with physician-specific regulations and polices related to documentation and coding.
Prior audit/quality experience.
Prior experiences teaching/training others on correct coding guidelines and/or have the ability to present to large groups of Physicians/Providers.
Microsoft Office expertise including Word, Excel and Power Point applications that will be used to develop and present training material
Preferred Requirements: Bachelor’s degree. Pro! ficiency with DRG optimization. Licensed Practical Nurse (LPN) / Licensed Vocational Nurse (LVN), or Registered Nurse (RN).
Please Note: Travel will be required for this position and the viable candidate needs to be available for day and evening sessions .
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Cigna.
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Mon, 06 May 2013 17:18:54 GMT
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