Pro Fee Coder - Complex Surgical Case Experience A Must

Savista • Remote - AZ, AZ

11d • $22 - $35

About The Position

Savista partners with healthcare organizations to improve revenue-cycle operations, support positive patient experiences, and help clients achieve financial results while upholding its values of Commitment, Authenticity, Respect, and Excellence. 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 may include validating APC calculations for hospitals and assessing documentation to ensure clinical data is accurately abstracted in accordance with regulatory and compliance requirements. The coder may interact with client staff and providers.

Requirements

• Active AHIMA credential, including RHIA, RHIT, CCS, or CCA, or 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 meet a 95% coding quality threshold while maintaining client-specific and/or Savista production and quality standards.
• Proficient computer skills, including Microsoft Office and the ability to enter data and sort and filter Excel files; Outlook, Word, and Excel skills are required.
• 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.
• Associate degree in HIM or a healthcare-related field, or an equivalent combination of education and experience.
• Experience using EPIC.

Responsibilities

• Select and sequence ICD-10 and/or CPT/HCPCS codes for designated patient types, including ancillary/diagnostic and recurring services, hospital and clinic services, physician professional-fee hospitalist services, technical fees, evaluation and management, 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 following documentation review, ensuring records adequately and appropriately support diagnoses, procedures, and discharge disposition.
• Complete assigned work using appropriate resources; support 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 working knowledge of ICD-10 and/or CPT/HCPCS coding, 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.
• Successfully pass the pre-employment skills assessment.

What This Job Offers

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