Coder I, ED, Remote

UofL Health•Work from Home - KY, KY

4d•Remote

About The Position

The Coder I abstracts service documentation and assigns valid CPT, ICD-10, and HCPCs codes and modifiers to support appropriate reimbursement in accordance with federal, state, and private health plan requirements and organizational and regulatory guidance. The position typically handles less complex coding with oversight. The role reviews and resolves coding denials, completes charge sessions in assigned work queues, and verifies that provider documentation meets applicable evaluation and management guidelines, CMS Teaching Physician Rules, UofL Health policies, and payer-specific requirements for Advanced Practice Providers before codes are released for billing. The Coder I also communicates with office managers, departments, providers, and representatives; identifies and reports coding deficiencies; and works within a team to meet production, quality, and monthly goals while maintaining compliance with coding rules, HIPAA requirements, and company policies.

Requirements

High school diploma or GED/equivalent.
Certified Professional Coder (CPC) credential accredited by the American Academy of Professional Coders (AAPC).
One to four years of physician coding experience is preferred.
A Certified Coding Specialist (CCS), Certified Coding Specialist Physician Based (CCS-P), or Certified Coding Assistant (CCA) credential accredited by the American Health Information Management Association (AHIMA) is required.

Nice To Haves

One to four years of physician coding experience.

Responsibilities

Accurately abstract information from service documentation and assign and sequence appropriate CPT, ICD-10, and HCPCs codes in billing systems in accordance with established guidelines.
Review and resolve coding denials.
Complete charge sessions in assigned work queues in a timely manner.
Complete documentation meeting current EM Guidelines for providers.
Ensure documentation meets CMS Teaching Physician Rules and UofL Health policies before releasing codes for billing.
Ensure Advanced Practice Provider documentation 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 assigned duties.
Maintain daily or weekly communication with office managers, departments, and providers.
Work within a team environment and meet monthly goals.
Maintain compliance with coding rules and regulations, company policies, procedures, standards of conduct, and HIPAA privacy and security requirements.
Respond in a timely manner to questions from managers, providers, departments, and representatives.