Remote PRN HCC Coder with CRC

Presbyterian Healthcare Services

3d • Remote

About The Position

Presbyterian is hiring a skilled Remote PRN HCC Coder with CRC to join our team. This is a PRN (as needed) position with varied days and hours, based remotely for workers in New Mexico.

Requirements

• High school diploma/GED required.
• Must have any one of the following coding certifications at time of hire: HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire.
• One-three years experience as a coder required.
• Must possess computer skills including, but not limited to, Word, Excel, PowerPoint.
• Must be able to use the internet and other electronic resources for the purpose of research.

Nice To Haves

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

Responsibilities

• Codes inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for reimbursement, research, and compliance with Federal regulation using the ICD-9/10 CM and CPT-4 classification system.
• Ensures adherence to Hospital and Departmental Policies and Procedures.
• Reviews patients' entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.
• Abstracts data essential to the QI department for determining patient care issues and providing information to The Joint Commission.
• Accesses several systems via the computer to research the medical record to complete coding in a timely manner.
• Takes responsibility for accounts receivable by looking for lost documents to ensure all encounters are coded, including the generation of appropriate queries.
• Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts.
• Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area, including all ICD-9/10 CM, CPT-4, HCPCS, DRG, APC and/or HHRG updates and changes.
• Participates in all departmental in-services and updates to stay current with accepted coding guidelines and improve personal knowledge of medicine and treatment.
• Communicates issues to the EW Clinical Coding Manager & Supervisor, as appropriate.
• Demonstrates knowledge of coding multiple areas of service and/or specialties.
• Maintains at least a 95% accuracy rate.
• Maintains average to high productivity based on PHS Productivity Standards.
• Maintains continuing education (CE) requirements per PHS policy.

Benefits

• Medical
• Dental
• Vision
• Short-term disability
• Long-term disability
• Group term life insurance
• Optional voluntary benefits
• Wellness rewards program (gift cards, wellness challenges, webinars, preventive screenings)

What This Job Offers

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