Description

*SPECIALTY SCOPE FOR THIS CODER II POSITION * * Multispecialty Surgery - OB Gyn * Multispecialty Surgery - Gastroenterology * Multispecialty Surgery - Orthopedics *WORK MODEL* Days: Monday - Friday Hours: 8hrs a day, 80hrs a pay period 100% Remote (3) Coder II Positions to fill *JOB SUMMARY* * The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. * The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. * For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties. * Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. * Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) * The Coder 2 will abstract and enter required data. *ESSENTIAL FUNCTIONS OF THE ROLE* * Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. * Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. * Communicates with providers for missing documentation elements and offers guidance and education when needed. * Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. * Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. * Reviews and edits charges. *KEY SUCCESS FACTORS* * Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. * Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. * Sound knowledge of anatomy, physiology, and medical terminology. * Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. * Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. * Ability to interpret health record documentation to identify procedures and services for accurate code assignment. * Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. Must have one of the following Certifications: * Registered Health Information Administrator (RHIA) * Registered Health Information Technologist (RHIT) * Certified Coding Specialist (CCS) * Certified Coding Specialist Physician-based (CCS-P) * Certified Professional Coder (CPC) * Certified Outpatient Coder (COC) * Certified Inpatient Coder (CIC) * Certified Interventional Radiology Cardiovascular Coder (CIRCC) *BENEFITS* Our competitive benefits package includes the following: * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level *MQUALIFICATIONS* * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - 2 Years of Experience * CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed: * Cert Coding Specialist (CCS) * Cert Coding Specialist-Physician (CCS-P) * Cert Inpatient Coder (CIC) * Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) * Cert Professional Coder (CPC) * Reg Health Info Administrator (RHIA) * Reg Health Information Technician (RHIT).