Senior Coder

Common Spirit-posted 3 months ago

Senior

Remote • Phoenix, AZ

Water Transportation

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This remote position encompasses a diverse range of coding responsibilities, including outpatient facility coding (Diagnostic, Observation, Endo, & Surgery, evaluation and management (E/M) level coding for clinical office visits, and a professional fee coding. Placement will be determined based on experience, and comprehensive cross training can be provided to ensure proficiency across all areas. The Senior Coder acts as a lead coder for their designated team. This position will train staff on department policies, procedures, systems and correct coding requirements. The Sr. Coder additionally will audit Coders, fill in for out-of-office Coders, and make recommendations to Coding Leadership to help improve the efficiency of the team.

Comply with all laws, rules, and regulations relating to the position.
Report any suspected violations of the law to immediate supervisor, compliance officer, or CEO.
Follow the coding guidelines set by AHIMA, NCCI edits, CMS, and the Standards of Coding Ethics.
Select appropriate assignments for coding from assigned work queues.
Assign codes by encounter, selecting the accurate principal diagnosis and procedure code.
Sequence codes to optimize reimbursement in conformance with policies.
Code only diagnoses and procedures which can be substantiated by documentation with the medical record.
Distinguish cases which require additional information from physicians and contact the physician for clarification.
Verify charges entered for the encounter match the documentation contained within the record.
Correctly utilize coding applications & systems to appropriately code and abstract all assigned encounters.
Analyze APCs and Modifier assignment to ensure accurate and compliant coding and charging.
Use skills and knowledge of ICD and CPT rules to select appropriate diagnosis and procedural codes.
Consult physicians for clarification when conflicting or ambiguous documentation is noted.
Assist physicians who are unfamiliar with ICD, CPT or DRG methodology.
Strive for optimal payment to which the facility is legally entitled.
Review unbilled to assure records are all coded within department timeframes.
Maintain patient, medical record, department, and employee confidentiality at all times.
Demonstrate a positive attitude and foster teamwork by offering assistance to others.
Effectively use tools provided to monitor coding backlog and coding errors needing correction.
Work with other departments to correct inaccurate clinical or demographic information.
Review the APC grouper edit and assist in clearing the edits related to coding and compliance.
Assist with the orientation and training of new employees.
Provide input to supervisor regarding coding policies and procedures.
Fulfill yearly continuing education requirements of the department and the hospital.
Attend and participate in department or section meetings.
Contribute to the overall operation of the department by performing other duties, as assigned.

3 years Coding Experience (Hospital Facility, Professional Fee, Physician Clinic) using ICD and CPT coding and/or knowledge of APC's, DRG's, modifiers, and other payment methodologies.
Electronic Medical Record (EMR) or Cerner experience.
High School Diploma/GED and completion of a CAHIIM Approved AHIMA/AAPC Accredited Coding Education.
Registration/Certification as a AHIMA: CCA, CCS, CCS-P, RHIT or RHIA OR AAPC: CPC, CPC-A, COC.
Must have and maintain an in-depth knowledge of CPT, ICD, and HCPCS coding guidelines.
Basic computer literacy and proficiency in Microsoft and/or Google Workspace.
Remote work experience.
Knowledge of EHR and Encoder System(s).

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