Remote PRN ProFee Multi specialty coder

Presbyterian Healthcare Services • Remote Workers New Mexico, NM

2d • $23 - $39 • Remote

About The Position

Codes records across multiple service areas, which may include inpatient and/or outpatient hospital records, emergency department records, Home Health and Hospice records, and professional fee services for PMG specialty providers. Coding supports reimbursement and research and must comply with federal regulations and applicable hospital and departmental policies. The role reviews complete current medical records and assigns appropriate CPT, ICD, and MS-DRG codes, abstracts quality-improvement data, researches records using computer systems, and helps ensure encounters are coded and accounts are ready for billing. The coder is responsible for resolving pre-bill edits and denials, maintaining current knowledge of coding and regulatory updates, participating in departmental education, communicating issues to the EW Clinical Coding Manager and Supervisor, maintaining at least 95% accuracy and average-to-high productivity under PHS standards, and meeting continuing-education requirements. This is a remote PRN position for workers in New Mexico, with varied days and hours.

Requirements

• High school diploma or GED.
• At hire, hold at least one of the following coding credentials: HCS-D, CCS, CCS-P, CPC-H, or CPC; alternatively, an RHIT or RHIA must achieve one of those coding credentials within one year of hire.
• One to three years of experience as a coder.
• Computer skills, including Word, Excel, and PowerPoint.
• Ability to use the internet and other electronic resources for research.

Nice To Haves

• Experience with an encoder.
• Experience with an Electronic Medical Record.

Responsibilities

• Review patients' complete current medical records and assign appropriate CPT, ICD, and MS-DRG codes in accordance with UHDDS guidelines, CMS requirements, federal regulations, and hospital and departmental policies.
• Abstract data for the Quality Improvement department and provide information to The Joint Commission.
• Access computer systems to research medical records and complete coding in a timely manner.
• Support accounts receivable by locating missing documents, ensuring all encounters are coded, and generating appropriate queries as needed.
• Resolve pre-bill edits, denials, and other issues for assigned accounts.
• Maintain and share current technical knowledge of legal and regulatory information, including updates to ICD-9/10-CM, CPT-4, HCPCS, DRG, APC, and/or HHRG.
• Participate in departmental in-services and updates to remain current with coding guidelines and improve knowledge of medicine and treatment.
• Communicate issues to the EW Clinical Coding Manager and Supervisor, as appropriate.
• Demonstrate knowledge of coding across multiple service areas and/or specialties.
• Maintain at least a 95% accuracy rate and average-to-high productivity based on PHS Productivity Standards.
• Maintain continuing-education requirements under PHS policy.

Benefits

• Medical, dental, and vision coverage for benefits-eligible employees.
• Short-term and long-term disability insurance for benefits-eligible employees.
• Group term life insurance and other optional voluntary benefits for benefits-eligible employees.
• Employee Wellness rewards program, with opportunities to earn gift cards and other rewards through wellness activities.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED