Clinic Coder (Remote) - Clinic Coding Services - FT - Day

Stormont Vail Hospital-posted 9 months ago
Full-time
Remote
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The Clinic Coder position involves reviewing medical record documentation and assigning accurate ICD-9-CM/ICD-10-CM and CPT codes for services provided by physicians and other qualified healthcare professionals. This role is essential in ensuring that coding is done accurately and in compliance with regulatory guidelines.

  • Selects and enters appropriate ICD-9-CM/ICD-10-CM and CPT codes utilizing encoding system and application of appropriate coding guidelines and resources.
  • Utilizes Electronic Medical Record applications to process claims electronically and/or manually on clinic encounter charge tickets when appropriate.
  • Routes completed charge tickets to business office for timely charge entry.
  • Proficient with assignment of evaluation and management codes and medical necessity documentation guidelines.
  • Complies with all payer specific guidelines for appropriate code assignment.
  • Provides proper date and accident information on charge claims.
  • Works in collaboration with clinic and hospital staff towards claim resolution.
  • Continually monitors and works assigned coding queues as assigned by Director.
  • Works professionally and in a timely manner to resolve all claim issues or business office inquiries.
  • Attends monthly department meetings and provides feedback on coding topics when appropriate.
  • Contacts physician or other qualified healthcare professionals when deemed necessary to clarify ambiguous or missing documentation for services rendered.
  • Notifies Director of all documentation/billing practices that do not meet facility or regulatory guidelines.
  • Continually educates self to stay current with coding guidelines and regulatory changes through use of educational materials.
  • May be required to converse and educate physicians or other qualified healthcare professionals on coding/billing practices when appropriate.
  • 2 years Coding experience (Preferred)
  • Knowledge of medical terminology (Preferred proficiency)
  • Knowledge of reimbursement processes and regulatory guidelines and ability to process claims through application and understanding of these guidelines (Preferred proficiency)
  • Registered Health Information Administrator (RHIA) - AHIMA Required
  • Registered Health Information Technician (RHIT) - AHIMA Required
  • Certified Coding Specialist-Physician-Based (CCS-P) - AHIMA Required
  • Certified Coding Specialist (CCS) is also accepted
  • Certified Professional Coder - AAPC Required
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