About The Position

Reviews medical record documentation and assigns accurate ICD-9-CM/ICD-10-CM and CPT codes for services provided by physicians and other qualified healthcare professionals. Position may qualify as hybrid or fully remote. If within 60 miles of Topeka Campus may be required to appear on site in the event of a system-wide downtime. Both hybrid and fully remote will be required to fulfill all organizational mandated requirements (i.e. influenza vaccines).

Requirements

  • 2 years Coding experience.
  • Registered Health Information Administrator (RHIA) - AHIMA Required or Registered Health Information Technician (RHIT) - AHIMA Required or Certified Coding Specialist-Physician-Based (CCS-P) - AHIMA Certified Coding Specialist (CCS) is also accepted. Required or Certified Professional Coder - AAPC Required
  • Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
  • Stable access to electricity and a minimum of 25mb upload and internet speed.
  • Dedicate full attention to the job duties and communication with others during working hours.
  • Adhere to break and attendance schedules agreed upon with supervisor.
  • Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Nice To Haves

  • 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)

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.
  • Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
  • Performs other duties as assigned
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