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Certified Coder
Location
United States
Posted
5 days ago
Salary
$23 - $37 / year
Seniority
Mid Level
No structured requirement data.
Job Description
Certified Coder
Confluence Health
Role Description Please Note: This is a pool position. No guarantee of hours. Certified Coders have the option to work virtually. Must reside in the state of WA, OR, ID, WI, FL, MT, GA, TX, AZ, AL, TN. The Certified Medical Coder will be responsible for: - Reviewing all medical record information to extract data and apply appropriate diagnoses and procedure codes for billing, internal and external reporting, research, and regulatory compliance. - Accurately coding conditions and procedures as documented in the Official Guidelines for Coding and Reporting for Hospital Departments. - Acting as a coding resource for team members and medical staff, ensuring compliance with ICD-10CM/PCS, CPT & HCPCS guidelines. - Assigning codes utilizing an electronic encoder application in accordance with practice policy and regulatory guidelines. - Abstracting and assigning ICD-10-CM/PCS, CPT, or HCPCS codes per coding guidelines. - Assisting with coding audits rebuttals from payor and RAC audits when due to coding. Position Reports To: Coding Department Manager Essential Functions - Reviews accounts and charges in EPIC. - Codes all records based on documentation, following coding guidelines, payer regulations, and ethics. - Demonstrates knowledge of CMS Hierarchical Condition Category (HCC) Risk Adjustment coding. - Applies knowledge of coding rules, reviews, and resolves CCI/LCD/NCD’s and modifier edits. - Effectively uses software and/or coding books to verify coding accuracy. - Responsible for staying current with billing guidelines and reimbursement rules and regulations. - Works with Revenue Integrity & Compliance on audits and coding questions. - Contributes as a team member with Clinical Documentation Specialists. - Provides feedback to providers regarding incorrect coding using authorized methods as directed by department policy. - Works with clinical staff to resolve coding issues and related problems. - Participates in educational activities as requested (i.e., attending meetings with clinical staff). - Maintains department coding production standards for the specialties assigned. - May be requested to perform job tasks not specifically related to primary assignments for the success of the organization. - Other duties as assigned. Certified Professional Coder Functions - Hospital Professional Coders are responsible for coding charges for Inpatient/Outpatient Hospital, Emergency Department, and/or Ambulatory Surgical Center. - Clinic Outpatient Professional Coders are responsible for coding multiple specialties with a broad range of health care facility types. - Utilizes ICD-10CM, CPT, Modifiers, and HCPCS codes for reporting diagnosis and procedures per coding guidelines. - Reviews charge session for appropriate billing provider, department, and place of service. - Ability to level E/M visits and extract procedure codes. - Receives paper charge tickets or invoices, appropriately codes them, creates HARs, and batches or unit charge entry into EPIC. - Demonstrates Standards of Behavior and adheres to the Code of Conduct in all aspects of job performance at all times. Qualifications - High School graduate or equivalent. - One of the following coding certifications: CPC, CIC, COC from AAPC or CCA, CCS, RHIA, RHIT from AHIMA. - Minimum 1 year coding experience or equivalent education/experience. - Knowledge of ICD-10, CPT coding, medical terminology, and insurance billing. - Understanding of DRG’s for Inpatient Facility coding positions. - Possesses basic computer skills (e.g., spreadsheets, word processing). Desired - Experience with EPIC EHR. - Facility coders: Experience with Nuance Clintegrity encoder system. - Second coding certification from AAPC or AHIMA. Physical/Sensory Demands - Walking - Frequent - Sitting/Standing - Continuous - Reaching: Shoulder Height - Frequent - Reaching: Above shoulder height - Frequent - Reaching: Below shoulder height - Frequent - Climbing - Occasional - Pulling/Pushing: 25 pounds or less - Occasional - Pulling/Pushing: 25 pounds to 50 pounds - Occasional - Pulling/Pushing: Over 50 pounds - Occasional - Lifting: 25 pounds or less - Occasional - Lifting: 25 pounds to 50 pounds - Occasional - Lifting: Over 50 pounds - Occasional - Carrying: 25 pounds or less - Occasional - Carrying: 25 pounds to 50 pounds - Occasional - Carrying: Over 50 pounds - Occasional - Crawling/Kneeling - Occasional - Bending/Stooping/Crouching - Frequent - Twisting/Turning - Frequent - Repetitive Movement - Frequent Working Conditions - Normal office environment or optional remote work in approved state. Job Classification - FLSA: Non-Exempt - Hourly/Salary: Hourly Physical Exposures For This Position - Unprotected Heights - No - Heat - No - Cold - No - Mechanical Hazards - No - Hazardous Substances - No - Blood Borne Pathogens Exposure Potential - No - Lighting - No - Noise - No - Ionizing/Non-Ionizing Radiation - No - Infectious Diseases - No
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