Coder Abstractor - REMOTE

Munson Healthcare•Remote, MI

8d•Remote

About The Position

The Coder Abstractor is responsible for professional charge capture across the Munson system. The role reviews and analyzes medical record and encounter-form documentation to identify principal and secondary diagnoses and procedures, assigns diagnostic and procedural codes and modifiers according to Centers for Medicare and Medicaid Services (CMS) and Munson coding guidelines, enters charge data, and resolves discrepancies. The position serves as a liaison between the Central Billing Office (CBO) and sites or departments, and provides orientation and training for new employees in coding and charge capture. It reviews office-based electronic charges and encounter forms for completeness and accuracy, including ICD-9/10-CM, CPT, and HCPCS modifier assignments. It also interprets physician documentation of surgical procedures, identifies applicable diagnoses and procedures, and codes and enters charges at a 95% accuracy rate. The Coder Abstractor works with the central billing team to ensure charges are coded and entered within two business days, identifies educational needs or compliance issues and reports them to the Director of the Central Billing Office, and resolves coding discrepancies related to coding and revenue capture. The role researches and responds to coding and compliance questions, coordinates accurate procedure-code and modifier assignment, serves as an expert resource for physicians and staff, and maintains appropriate job-related education. Other duties may be assigned. The position is fully remote and has a day shift schedule.

Requirements

Associate’s degree in Health Record Technology or a related healthcare field, plus two years of professional coding experience, and obtain CPC, RHIT, or RHIA credentials within 18 months of employment; or three years of professional coding experience and an existing CPC, RHIT, or RHIA credential; or four to five years of professional coding experience and obtain CPC, RHIT, or RHIA credentials within 18 months of employment.
Ability to achieve and maintain a 95% charge-coding and data-entry accuracy rate.
Ability to meet the two-business-day charge coding and entry timeframe.
Employees must be vaccinated or have lab-confirmed immunity for measles, mumps, rubella, and varicella. Employees must also receive an annual flu vaccine or have an approved medical or religious exemption.

Responsibilities

Review and analyze medical records and encounter forms to determine principal and secondary diagnoses and procedures.
Assign diagnostic codes, procedural codes, and modifiers in accordance with CMS and Munson coding guidelines.
Enter professional charges and resolve discrepancies in the charge-capture process.
Review office-based electronic charges and encounter forms for completeness and coding accuracy, including ICD-9/10-CM, CPT, and HCPCS modifier assignments.
Interpret physician documentation of surgical procedures and identify applicable diagnoses, procedures, and codes.
Code and enter charges with a 95% accuracy rate.
Work with the central billing team to ensure charges are coded and entered within two business days.
Serve as a liaison between the CBO and sites or departments.
Assist with orientation and training of new employees in coding and charge capture.
Identify educational needs and compliance issues and report them to the Director of the Central Billing Office.
Resolve coding discrepancies related to coding and revenue capture.
Research and respond to coding and compliance questions, and coordinate accurate procedure-code and modifier assignment.
Serve as an expert resource for physicians, office management staff, and central billing staff.
Obtain and maintain education appropriate to the position.
Perform other duties as assigned.