APC Coordinator

SUMMARY 

Under limited supervision, the Ambulatory Payment Classification (APC) Coordinator directs and coordinates the activities of a highly specialized and technical team with the purpose of correcting claim edits for internal clinics and neighborhood clinics (Not Coded by HIM) that requires review by the HIM Coding Department based on chart documentation, Correct Coding Initiative (CCI), Local Coverage Determination (LCD) and/or Modifier compliance.


QUALIFICATIONS 

• Baccalaureate or Associate Degree in Health Information Management or related field or equivalent education, training and/or experience
• Certified Coding Specialists (CCS), Certified Professional Coder - Hospital (CPC-H), Registered Health Information Technician (RHIT) or Registered Health Information Technician (RHIA) and 5 years of hospital coding experience required
• 5 years of progressive experience in various hospital functions including coding, reimbursement, finance, billing and/or various service areas
• Certification for CPT and ICD-9-CM coding is desirable
• Extensive knowledge of various hospital reimbursement systems and coding systems including CPT and ICD-9-CM. Knowledge of the content, structure and maintenance of the Charge Master
• Conceptual knowledge of the cost reporting process
• Knowledge of computer systems and their capabilities relative to coding, billing and reimbursement

Equal Opportunity Employer-Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.