HIM Surgery Coder

University of Vermont Health Network•Williston, VT

7d•$26 - $41•Remote

About The Position

Applies knowledge of anatomy and physiology, medical terminology and pathology of disease processes while analyzing clinical documentation for inpatient and outpatient records for facility and/or professional services coding. May be assigned to work edit lists for accuracy of claims processing and data reporting. Applies knowledge of ICD-10 and CPT-4 nomenclatures and American Hospital Association, American Medical Association and applicable Federal and third party payer guidelines to accurately and compliantly determine principal and secondary ICD-10 diagnoses codes, principal and secondary ICD-10 procedure codes for all visits. In addition, assigns corresponding CPT-4 codes for all inpatient surgery cases or outpatient CPT defined procedural services for facility and professional billing and assignment of appropriate modifiers. Appropriately assigns ICD- 10 codes for professional services per medical necessity criteria. Follows UVMMC compliance and HIM coding compliance policies and by maintaining financial goals and meeting or exceeding accuracy and productivity standards. Utilizes various electronic information systems to accomplish coding including, EPIC, 3M/Solventum Coding and Reimbursement Systems, NCCI edit software, EncoderPro, and other clinical documentation systems or reference systems as deemed appropriate. Must have knowledge of charge master and charge maintenance. Effectively communicates with and acts as a resource to health care providers, department managers and staff to resolve documentation, charge or other issues as they arise to ensure accuracy of coding and reimbursement. HIM Coder Staff may be assigned other duties as deemed necessary by the HIM Supervisor and or HIM Manager. HIM Coder Staff will adhere to the HIM Mission and Vision. All coders will continually seek to improve coding knowledge through various mediums including seminars, articles, networking, web access and other as available.

Requirements

High school diploma.
College level Anatomy and Physiology and Medical Terminology.
AHIMA or AAPC certification (above an associate level).
Maintain certification status and CEU’s as a condition of continued employment.
Two years of Coding in a university hospital or professional setting or two years of coding as a UVMMC, HIM Coder or MGC Coder.
Coding or billing experience utilizing ICD-10-CM, CPT-4, HCPCS level II and/or experience performing clinical documentation record reviews.
Demonstrated ability to meet or exceed quality and productivity standards.

Nice To Haves

Associate's degree or Bachelor's degree in Allied Health or HIM preferred.

Responsibilities

Analyze clinical documentation for inpatient and outpatient records for facility and/or professional services coding.
Work edit lists for accuracy of claims processing and data reporting.
Determine principal and secondary ICD-10 diagnoses codes, principal and secondary ICD-10 procedure codes for all visits.
Assign corresponding CPT-4 codes for all inpatient surgery cases or outpatient CPT defined procedural services for facility and professional billing and assignment of appropriate modifiers.
Assign ICD- 10 codes for professional services per medical necessity criteria.
Maintain financial goals and meet or exceed accuracy and productivity standards.
Utilize electronic information systems for coding including EPIC, 3M/Solventum Coding and Reimbursement Systems, NCCI edit software, EncoderPro, and other clinical documentation systems or reference systems.
Possess knowledge of charge master and charge maintenance.
Communicate with and act as a resource to health care providers, department managers and staff to resolve documentation, charge or other issues.
Adhere to the HIM Mission and Vision.
Continually seek to improve coding knowledge through various mediums including seminars, articles, networking, web access and other as available.