Medical Coder, 40hrs

TaraVista Behavioral HealthDevens, MA
Remote

About The Position

As a Medical Coder for TaraVista in Devens, Massachusetts, you’ll bring your experience and knowledge where your voice matters. A Medical Coder is an integral part of our multidisciplinary team. You will code hospital and professional inpatient visits using the International Classification of Disease 10-Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) coding methodology in accordance with official coding and reimbursement guidelines. You will work under the general supervision and reporting to the Director of HIM. You are responsible for professional CPT coding for Medicare and Medicare like payers. You will abstract all data elements into the WellSky EMR platform. You will use the TruBridge encoder integration to review Medical Necessity edits and CCs, MCCs, coding order and DRG assignment. You will maintain current working knowledge with all coding rules, coding guidelines, Medicare, and Medicare like payer regulations in accordance with the hospital coding compliance policies and procedures.

Requirements

  • Associate or bachelor’s degree in an AHIMA approved program
  • Previous experience in the Health Information Management field, coding department and/or behavioral health coding/facility
  • Certification issued by AHIMA (to include CCA-with full credentials within one year of hire)
  • Certification issued by AAPC (to include apprentice-with full credentials within one year of hire).
  • Medical Coding certification and/or at least two years of psychiatric ICD-10-CM and CPT coding, including E/M coding utilizing the 2023 guidelines
  • Ability to accurately code from ICD-10-CM, ICD-10-PCS and CPT-4 guidelines provided using the TruBridge Encoder integration through our EMR.

Responsibilities

  • Code hospital and professional inpatient visits using the International Classification of Disease 10-Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) coding methodology in accordance with official coding and reimbursement guidelines.
  • Responsible for professional CPT coding for Medicare and Medicare like payers.
  • Abstract all data elements into the WellSky EMR platform.
  • Use the TruBridge encoder integration to review Medical Necessity edits and CCs, MCCs, coding order and DRG assignment.
  • Maintain current working knowledge with all coding rules, coding guidelines, Medicare, and Medicare like payer regulations in accordance with the hospital coding compliance policies and procedures.
  • Maintain credentials and continuing education requirements.
  • Code for 1 or more hospital locations.
  • Medicare and Medicare like insurance coding for professional services in the Behavioral Health clinical areas for both Tara Vista and Mira Vista Behavioral Health.
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