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

Stormont Vail Hospital

330d • Remote

About The Position

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.

Requirements

• 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

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time