Coder - Professional
About The Position
Coder – Professionals are responsible for professional coding which includes the assignment of ICD-CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M codes) provider audits. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Accepting remote workers in the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Department: Physician Coding. Hours: Full time, 40 hours/week. Shift: 1st. Location: Remote or On-site.
Requirements
- High School Diploma
- CCA, CCS, CPC, RHIT, or RHIA upon hire
- CPC required within 1 year of hire
Nice To Haves
- CCA - Certified Coding Associate - American Health Information Management Association
- CCS - Certified Coding Specialist - American Health Information Management Association
- Certified Evaluation & Management Auditor - Sarah Bush Lincoln
- Certified Professional Coder-A - Sarah Bush Lincoln
- Certified Professional Coder - Sarah Bush Lincoln
- Registered Health Information Technician (RHIT) - American Health Information Management Association
- Registered Health Info Administrator (RHIA) - American Health Information Management Association
Responsibilities
- Analyze and confirm assigned encounters for provider’s selection of EM code level utilizing EM code level selection auditing tool.
- Assists physicians with record documentation needs by requesting clarification for additional information.
- Assists in educating physicians and ancillary staff members about documentation needed for coding process.
- Contacts physician offices and/or SBL departments as needed for diagnostic information to code the encounter.
- Assists with training new coding staff as requested.
- Codes all types of encounters as assigned and assists co-workers as needed.
- Codes and resolves clinic, hospitalist, ED, and applicable ancillary services professional encounters based on established production standards.
- Ensures data quality and optimum reimbursement allowable under the federal and state payment systems.
- Meets quality standards of having 95% of diagnoses and procedures appropriately and/or correctly coded.
- Performs follow-up on encounters that need to be coded and resolved.
- Reviews and corrects all encounters that are rejected or denied.
- Reviews record thoroughly to ascertain all diagnoses/procedures. Codes all diagnoses/procedures in accordance to ICD-CM and CPT coding principles, official guidelines and regulations.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
