Coder Abstractor - Pulmonary - REMOTE

Munson Healthcare•Remote, MI

3d•Remote

About The Position

The Coder Abstractor is responsible for the charge capture process for professional charges within the Munson system. This includes verifying and/or analyzing medical record and/or encounter form documentation to determine the principle and all secondary diagnoses and procedures. The role involves assigning diagnostic codes, procedural codes, and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS) and Munson. Additionally, the Coder Abstractor performs data entry and resolves discrepancies. This position serves as a liaison between the Central Billing Office (CBO) and sites/departments, and assists in the orientation and training of new employees in the coding and charge capture area. The role requires reviewing office-based electronic charges and encounter forms for completion and accuracy, including ICD-9/10CM, CPT, and HCPCS modifier assignment, aiming for a 95% accuracy rate. It also involves reviewing and interpreting physician documentation of surgical procedures to accurately assign and enter billing codes, identifying all applicable diagnosis procedures, and ensuring charges are coded and entered within two business days. The Coder Abstractor identifies educational needs and/or compliance issues, reports them to the Director of Central Billing Office, performs accurate data entry, and resolves coding discrepancies related to coding and revenue capture. Maintaining appropriate education for the position is also a responsibility. The role acts as an expert resource for physicians, office management staff, and central billing staff, researching and responding to coding and compliance questions, and coordinating accurate assignment of procedure codes and modifiers. Other duties as assigned are also part of the role.

Requirements

Associate’s degree in Health Record Technology, or related healthcare field and two years of professional coding experience and must obtain the credentials of a Certified Professional Coder (CPC), Registered Health Information Administrator (RHIT), or Registered Health Information Administrator (RHIA) within 18 months of employment.
OR three years of professional coding experience and has obtained the credentials of a certified professional coder (CPC), Registered Health Information Administrator (RHIT), or Registered Health Information Administrator (RHIA)
OR four to five years of professional coding experience and must obtain the credentials of a certified professional coder (CPC) Registered Health Information Administrator (RHIT), or Registered Health Information Administrator (RHIA) within 18 months of employment
Must be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella.
Must receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

Nice To Haves

Ideally at least two years of Pulmonary coding experience!

Responsibilities

Verify and/or analyze medical record and/or encounter form documentation to determine the principle and all secondary diagnoses and procedures.
Assign diagnostic codes, procedural codes, and modifiers using coding guidelines established by CMS and Munson.
Perform data entry and resolve discrepancies.
Serve as a liaison between CBO and sites/departments.
Assist in the orientation and training of new employees within the coding and charge capture area.
Review office based electronic charges and encounter forms for completion and accuracy, including accuracy of ICD9/10CM, CPT and HCPCS modifier assignment.
Code and enter charges at a 95% accuracy rate.
Review and interpret physician documentation of surgical procedures to accurately assign and enter billing codes.
Identify all applicable diagnosis procedures and codes.
Work with central billing team to ensure charges are coded and entered within two business days.
Identify educational needs and/or compliance issues and report them to the Director of Central Billing Office.
Perform accurate data entry of charges.
Resolve coding discrepancies related to coding and revenue capture.
Obtain and maintain education appropriate to the position.
Serve as an expert resource for physicians, office management staff and central billing staff.
Research and respond to coding and compliance questions.
Coordinate accurate assignment of procedure codes and modifiers.
Perform other duties as assigned.