Education requirement: Technical Degree
Experience Requiredt: 2+ years
Union Representation: Non-Union (100)
Work Schedule: 8 - 4:30 flexible
Hours per pay period: 80
Job ID: 24885
Job Code: 2CH
Date posted: Jun 10, 2009
Position Summary
The Compliance Educator position develops, coordinates, and leads education and training programs to Park Nicollet Clinic (PNC) providers, professional coders and other billing and business services departments on compliant documentation, coding, and billing to ensure the organization meets all coding, state and federal compliance requirements. The incumbent researches, analyzes, and responds to inquiries regarding compliance, coding, third party payors, Medicare/Medicaid, denials, and billable services. A highly visible position with extensive provider interaction and this role acts proactively to minimize compliance risk. Other duties include coaching and mentoring new physicians and other credentialed practitioners in coding, billing, and documentation requirements, being a resource for clinic managers and finance (billing) regarding coding and documentation requirements, alerts managers regarding possible compliance problems, and researches regulatory questions with Third Party payers and communicates those answers to appropriate department representative. This position requires expertise in reviewing documentation and determining CPT/HCPCS and ICD-9 diagnosis/carrier coding and billing guidelines/regulations. The individual must be detail oriented, organized, work successfully both independently and on team projects, be able to problem solve effectively, establish credibility and rapport with leaders/staff in multiple disciplines within the organization, and have the willingness to actively remain updated and current with changes in the field. In addition, the individual in this role must consistently exhibit sensitivity, integrity, the ability to adapt and support change quickly, and embrace continuous learning. Additional minimum requirements include successful completion of a coding certificate program and two years of coding experience in a health care organization. Must obtain a RHIA, RHIT, or CPC certification (CCS-P and/or CCS) within 6 months of hire.
Additional Information
The Organization
Rooted in suburban Minneapolis, Minnesota, Park Nicollet Health Services (PNHS) is an integrated health care delivery organization. The two largest entities that comprise PNHS are Park Nicollet Methodist Hospital, a 426-bed community hospital located in St. Louis Park, and Park Nicollet Clinic, a 500-plus, physician multi-specialty group with 25 offices in Minneapolis and its southern, western, and northern suburbs. PNHS truly is an integrated system, as processes of care are designed and managed across these entities to optimize the delivery of care for the patients and communities served.
Park Nicollet Mission, Vision and Values
Mission:
Our mission is to care for and support the health, healing and learning of those we serve.
Vision:
Everyone caring, every day, creating with the individuals we serve, optimal health and greater value.
Values:
Excellence is the standard we apply to our work, achieving best possible outcomes and upholding the highest professional standards.
Caring is our heartfelt motivation to serve our patients and create the best possible experience.
Stewardship is our commitment to create ever greater value with the resources entrusted to us.
Joy is what we experience when serving our patients and each other through a job well done.
Learning is the way we continually improve and create knowledge and value that can be shared.
What makes us unique?
Park Nicollet Health Services is a strong, stable and organically grown multi-specialty group practice within the affluent and highly educated western Twin City metropolitan area. PNHS has a long-standing commitment to quality, proficiency and stewardship, and has embarked on a pioneering effort to study, adopt and integrate the Toyota Production System’s Lean Methodology (Kaizen), enhancing previous gains realized from its Six Sigma efforts. Although PNHS has developed and engaged in strong business partnerships with local competitors, having a single hospital focus adds to its list of strengths and advantages. PNHS was one of the first integrated healthcare systems in the nation to adopt a unit medical record that is now electronic and ubiquitous.
To learn more about our organization, including our award winning care, please visit our website at www.parknicollet.com.