• Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location • Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts • Provides training and guidance to lower level colleagues and provide problem resolution as needed • Documents claims billed, paid, settled, and follow-up in appropriate system(s) • Identifies and escalates issues affecting accurate billing and follow-up activities • Adheres to proactive practices which includes contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner • Communicates with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information • Performs all follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays • Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution • Proactively follow up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required • May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services, e.g., number of claims and dollars billed, claims edited, claims unprocessed, etc. • Assists in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as new systems, processes or payers are created • Provides problem resolution to billing and follow-up issues as needed

• Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. • Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts. • Provides training and guidance to lower level colleagues and provides problem resolution as needed. • Documents claims billed, paid, settled, and follow-up in appropriate system(s). • Identifies and escalates issues affecting accurate billing and follow-up activities. • Adheres to proactive practices which includes contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner. • Communicates with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information. • Performs all follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays. • Researches claim rejections, makes corrections, takes corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution. • Proactively follow up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required. • May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services, e.g., number of claims and dollars billed, claims edited, claims unprocessed, etc.

• Review and abstract professional medical records, including provider notes, encounters, and supporting documentation. • Assign ICD-10-CM, CPT, HCPCS, and applicable modifiers accurately, following national and payer-specific coding guidelines. • Validate that all codes are supported by provider documentation; query providers for clarification when necessary. • Maintain coding quality metrics (accuracy, productivity, and compliance) as defined by leadership. • Participate in internal and external coding audits; provide feedback to improve documentation and coding processes. • Stay current with updates to CPT, ICD-10, HCPCS, and CMS risk adjustment guidelines. • Maintain confidentiality and adhere to all HIPAA and compliance standards.

Role Description IKS Health is seeking to hire an experienced Inpatient Facility Medical Coder. - Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter. - Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition. - Ensures appropriate DRG assignment. - Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record. - Consistently meets productivity and quality performance requirements. - Responsible for utilizing Aquity applications to enter charts coded in real-time throughout the scheduled shift. - Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client. - Participates in team meetings and all training required by Aquity staff or client. - May be asked to participate in training or shadowing of other coders. - Flexibility in assignment over multiple clients to ensure meeting required classification hours. - Participates in Coding Roundtables through presentation of materials, articles and current issues related to coding and Health Information Management. - Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting. - Participates in education modules as assigned. - Responsible for keeping coding credentials up to date and active. - Maintains effective and professional communication skills. - Contributes to a positive company image by exhibiting professionalism, adaptability and mutual respect. Qualifications - Coding credentials required: CCS, RHIA, or RHIT. - Excellent verbal and written communication skills. - Inpatient Medical and Surgical admissions experience. - Minimum of 3 years of current/recent related IP coding experience. - Minimum of 3 years of experience in acute care. - Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes. - Extensive knowledge of ICD-10-CM and CPT coding principles and guidelines, reimbursement systems, federal, state and payor-specific regulations and policies pertaining to documentation, coding and billing. - Must pass inpatient coding proficiency test. Requirements - Requires strong interpersonal communication skills, both verbal and written. - Requires a high level of coding accuracy and attention to detail. - Excellent oral and written communication skills – must be detailed and articulate. - Strong knowledge of Google Suite. Working Environment - Remote working environment; extended periods of computer-based work. Physical Demands - Prolonged computer screen usage, keyboarding. - Long periods of sitting commensurate with computer-based work and work-related phone calls. Compensation and Benefits - The pay range for this position is $35/hr - $42/hr. - Pay is based on several factors, including but not limited to current market conditions, location, education, work experience, certifications, etc. - IKS Health offers a competitive benefits package including healthcare, 401k, and paid time off (all benefits are subject to eligibility requirements for full-time employees).