Coder I - Clinic

CommonSpirit HealthHouston, TX
20h

About The Position

As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. The Coder I is responsible for abstracting and assigning valid CPT ICD-9/10 and HCPCS codes to ensure appropriate reimbursement in accordance with federal state and private health plans as well as organization and regulatory guidance. This roles typically responsible for less complex coding with oversight.

Requirements

  • High School Graduate General Studies and 1-3 years
  • One (1) year of physician coding experience, upon hire or High School GED General Studies and 1-3 years
  • One (1) year of physician coding experience, upon hire

Nice To Haves

  • Previous Electronic Health Record experience, upon hire
  • Certified Coding Specialist, upon hire or Certified Coding Specialist - Physician Based, upon hire or Certified Professional Coder, upon hire

Responsibilities

  • Accurately abstracts information from the service documentation assigns and sequences appropriate CPT ICD-9/10 and HCPCScodes into the appropriate billing systems ensuring compliance with established guidelines.
  • Communicates professionally with providers practice management and other stake holders either verbally or in writing.
  • Responsible for working encounters in the coding work queue or task lists in a timely manner.
  • Meets or exceeds organizational coding production and quality standards.
  • Understands and applies regulatory changes and stays current with coding updates for example NCCI and MUE edits.
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