Coding Specialist II-Profee Orthopedics

Savista • Remote - AZ, AZ

2d • $22 - $35

About The Position

Savista partners with healthcare organizations to improve revenue cycle operations while supporting patients and communities. The Pro Fee Coder reviews clinical documentation and assigns and sequences diagnostic and procedural codes for designated patient types to support hospital or physician data retrieval, billing, and reimbursement. The role also reviews and abstracts clinical data to ensure documentation adequately supports diagnoses, procedures, and discharge disposition, and meets regulatory and compliance requirements. The coder may validate APC calculations and may interact with client staff and providers.

Requirements

• Successfully pass a pre-employment skills assessment.
• Hold an active AHIMA credential, such as RHIA, RHIT, CCS, or CCA, or an active AAPC credential, such as COC (formerly CPC-H), CCS-P, CPC, or a related specialty credential.
• Have two years of recent and relevant hands-on coding experience.
• Know medical terminology, anatomy and physiology, pharmacology, pathophysiology, and ICD-10 and CPT/HCPCS code sets.
• Consistently meet a 95% coding quality threshold while maintaining client-specific and/or Savista production and quality standards.
• Have proficient computer skills, including Microsoft Office and the ability to enter data and sort and filter Excel files; familiarity with Outlook, Word, and Excel is required.
• Demonstrate excellent interpersonal and problem-solving skills when working with internal and external customers at all levels.

Nice To Haves

• Recent and relevant experience in an active production coding environment.
• An associate degree in HIM or a healthcare-related field, or an equivalent combination of education and experience.
• Experience with Rcx, Cerner, or NextGen.

Responsibilities

• Select and sequence ICD-10 and/or CPT/HCPCS codes for designated patient types, including ancillary or recurring services, hospital and clinic records, physician professional fees, technical fees, and evaluation and management services.
• Review and analyze facility records to ensure APC assignments and/or evaluation and management codes accurately reflect documented diagnoses and procedures.
• Abstract clinical data after documentation review to ensure the record adequately supports diagnoses, procedures, and discharge disposition.
• Complete assigned work using appropriate resources; may assist client staff with data integrity, clarification, compliant coding practices, and provider queries.
• Maintain patient and provider confidentiality in compliance with HIPAA guidelines.
• Participate in client and Savista staff meetings, trainings, and conference calls as requested or required.
• Maintain current working knowledge of coding systems, coding guidelines, government regulations, protocols, and third-party coding or billing requirements.
• Participate in continuing education to enhance knowledge and skills and maintain current credentials.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed