Coding Specialist II - OB/GYN Profee
About The Position
The Pro Fee Coder reviews clinical documentation and assigns and sequences diagnostic and procedural codes for designated patient types to support billing, reimbursement, and hospital or physician data retrieval. The role may validate APC calculations and reviews documentation to accurately capture diagnoses and procedures and meet regulatory and compliance requirements. The position may involve interacting with client staff and providers. The coder selects and sequences ICD-10 and/or CPT/HCPCS codes for designated patient types, which may include ancillary/diagnostic or recurring services, hospital and clinic records, physician professional fees, technical fees, evaluation and management, and associated chart capture. The coder reviews facility records and abstracts clinical data to ensure diagnoses, procedures, APC assignments, evaluation and management codes, and discharge dispositions are adequately supported by the record. The role uses appropriate coding resources and may assist client staff with data integrity, clarification, compliant coding practices, and provider queries. It requires protecting patient and provider confidentiality, participating in meetings and training, maintaining current coding knowledge, and completing continuing education to enhance skills and maintain credentials.
Requirements
- Successfully pass a pre-employment skills assessment.
- Hold an active AHIMA credential, including RHIA, RHIT, CCS, or CCA, or an active AAPC credential such as COC (formerly CPC-H), CCS-P, CPC, or a related specialty credential.
- Two years of recent and relevant hands-on coding experience.
- Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, and ICD-10 and CPT/HCPCS code sets.
- Ability to consistently achieve a 95% coding quality threshold while meeting client-specific and/or Savista production and quality standards.
- Proficient computer skills, including MS Office and the ability to enter data and sort and filter Excel files; familiarity with Outlook, Word, and Excel.
- Excellent interpersonal and problem-solving skills with internal and external customers at all levels.
Nice To Haves
- Recent and relevant experience in an active production coding environment is strongly preferred.
- Associate degree in HIM or a healthcare-related field, or an equivalent combination of education and experience.
- Experience using Rcx, Cerner, or NextGen.
Responsibilities
- Select and sequence ICD-10 and/or CPT/HCPCS codes for designated patient types and associated chart capture.
- 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.
- Assist client staff with data integrity, clarification, compliant coding practices, and provider queries as needed.
- 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 knowledge of ICD-10 and/or CPT/HCPCS code sets, 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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
