Remote Pro Fee Surgery & E/M Coder

Presbyterian Healthcare Services

1d • Remote

About The Position

Presbyterian is hiring a skilled Pro Fee Surgery & E/M Coder to join their team. Presbyterian exists to improve the health of patients, members, and the communities they serve. They are a locally owned, not-for-profit healthcare system comprising nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908, Presbyterian is the state's largest private employer with nearly 14,000 employees, including over 1600 providers and nearly 4,700 nurses. Their health plan serves more than 580,000 members statewide, offering Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans. Presbyterian is committed to improving the health of New Mexicans and has grown from a tiny tuberculosis sanatorium to a statewide healthcare system.

Requirements

• High school diploma/GED required.
• Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire.
• Three to five years experience as a coder required.

Responsibilities

• Code inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system.
• Ensures adherence to Hospital and Departmental Policies and Procedures.
• Demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty deemed a critical business need by PHS Coding Leadership.
• Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.
• Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner.
• Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded, including the generation of appropriate queries, as needed.
• Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area. This includes but is not limited to all ICD-9/10 CM, CPT-4, HCPCS, and DRG, APC and/or HHRG updates and changes.
• Responsible for resolving any and all pre-bill edits, denials, etc. for assigned accounts.

Benefits

• Comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
• Employee Wellness rewards program designed to provide engaging opportunities to enhance health and activate well-being.
• Earn gift cards and more by taking an active role in personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees