Coder I, Gastroenterology & Endocrinology, Remote

UofL Health•Work From Home - OH, OH

3d•Remote

About The Position

The Coder I abstracts service documentation and assigns valid CPT, ICD-10, HCPCs codes, and modifiers to support appropriate reimbursement in accordance with federal, state, and private health plan requirements and organizational and regulatory guidance. The role generally handles less complex coding with oversight. It is remote and focuses on Gastroenterology and Endocrinology.

Requirements

High school diploma, GED, or equivalent.
Certified Professional Coder (CPC) certification accredited by the American Academy of Professional Coders (AAPC).
A qualifying certification accredited by the American Health Information Management Association (AHIMA): Certified Coding Specialist (CCS), Certified Coding Specialist Physician Based (CCS-P), or Certified Coding Assistant (CCA).

Nice To Haves

One to four years of physician coding experience.

Responsibilities

Abstract information from service documentation and accurately assign and sequence appropriate CPT, ICD-10, and HCPCs codes in billing systems in compliance with established guidelines.
Review and resolve coding denials.
Complete charge sessions in assigned work queues in a timely manner.
Complete documentation meeting current evaluation and management (EM) guidelines for providers.
Ensure documentation meets CMS Teaching Physician Rules and UofL Health policies before releasing codes for billing.
Ensure documentation for Advanced Practice Providers meets payer-specific rules before releasing codes for billing.
Provide comments and suggestions about weak areas identified in coding reviews.
Report trending deficiencies to the Senior Manager and Compliance Educator, as appropriate.
Meet or exceed organizational coding production and quality standards.
Participate in special projects and complete other duties as assigned.
Maintain daily or weekly communication with office managers, departments, and providers.
Work effectively in a team environment and meet monthly goals.
Maintain compliance with coding rules and regulations and company policies, procedures, and standards of conduct.
Respond promptly to questions from the manager, providers, departments, and representatives.
Comply with HIPAA privacy and security requirements and maintain confidentiality.