Coding Representative (Remote Eligible)

UIOWA•Iowa City, IA

About The Position

University of Iowa Health Care’s Department of Health Information Management, Coding and Abstracting Division is hiring a part-time Emergency Department medical coder (Coding Representative). The position reviews medical record documentation and assigns accurate, complete ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and Evaluation and Management (E/M) codes for Emergency Department facility and physician services, following coding guidelines, regulatory requirements, and compliance policies. The role is based at the Hospital Support Services Building in Coralville, Iowa, and is eligible for remote work. Applicants interested in remote work may be considered; remote eligibility is evaluated after satisfactory training. Training is conducted on-site or virtually, and work arrangements are reviewed annually under applicable remote-work and travel policies. The position is 50% time, or 20 hours per week, with negotiable days and hours. The Coding Representative supports accurate reimbursement and compliance by reviewing billing work queues, resolving documentation and coding issues, preparing reports, and contributing to process improvements. The role also involves communication with colleagues and healthcare providers and participation in coding and developmental training.

Requirements

Completion of a degree program in Health Information Management from AHIMA, a medical coding certification program from AAPC, or an equivalent combination of education and experience.
Health Information Management certification such as RHIA or RHIT, or coding certification such as CCS, CCA, or CPC through a nationally recognized credentialing body (AHIMA or AAPC); full certification must be received within six months of hire.
Knowledge of hospital outpatient ICD-10-CM and CPT medical coding.
Knowledge of E/M coding for physician billing.
Knowledge of medical terminology.
Knowledge of anatomy and physiology.
Proficiency in computer software applications, such as Microsoft Office.
Excellent written and verbal communication skills.
Strong attention to detail and accuracy to achieve or exceed organizational and individual performance goals.
Professional experience working effectively with individuals from a variety of backgrounds and perspectives.

Nice To Haves

1–3 years of experience with hospital outpatient ICD-10-CM and CPT medical coding.
1–3 years of experience with E/M coding for Emergency Department physicians.
Knowledge, understanding, and experience with CMS regulations and industry standards.
Knowledge and experience using Epic.
Knowledge and experience using 3M (or equivalent) MS DRG/APR DRG encoder/analyzer software.

Responsibilities

Review medical record documentation and assign accurate, complete ICD-10-CM diagnosis, CPT/HCPCS procedure, and E/M codes for Emergency Department facility and physician services.
Follow ICD-10 Official Coding Guidelines, regulatory guidelines, and coding compliance policies.
Adopt initiatives that improve compliance and reduce institutional risk.
Review documentation and billed data for compliance with documentation and regulatory requirements.
Monitor compliance standards and policies to support full and accurate reimbursement in accordance with payor rules and regulations.
Contribute to tools and processes that address causes of incorrect payment.
Review hospital billing (HB) and physician billing (PB) charge-review work queues for accounts with edits.
Identify potential process improvements, including denial management.
Prepare work-list and other reports as directed.
Communicate with coworkers, supervisors, departments, and healthcare providers to resolve issues and documentation questions.
Resolve issues involving incomplete or unsigned documentation, or requests for additional information needed for accurate code assignment.
May assist with or provide training to providers regarding documentation requirements.
Participate in internal coding and developmental training.