Professional Fee Coder II; Remote

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

The Professional Fee Coder is part of a team which has full responsibility for the efficient and accurate flow of coded charges. Applies the appropriate diagnoses, surgical and procedural codes to individual patient health information for data retrieval, analysis and claims processing. Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers. Provides physicians routine feedback on documentation and compliance standards.

Resolves pre-bill edits and appropriate follow-up. Exercises judgment within generally defined practices and policies in selecting methods and techniques for obtaining solutions. Receives no instructions on routine work and general instructions on new assignments.

Stanford Health Care

• Adheres to official coding guidelines.
• Applies CPT-4, ICD-9-CM, HCPCS and modifiers following coding guidelines.
• Code all documented professional services and submit for billing.
• Ensure coded services, provider charges and medical record documentation meet appropriate guidelines or standards.
• Ensures all services are accounted for and billed.
• Keeps abreast of coding guidelines and reimbursement reporting requirements.
• Provides feedback to physicians related to documentation issues and/or revenue opportunities.
• Queries physicians when code assignments are not straightforward or documentation in the record in inadequate, ambiguous, or unclear for coding purposes.
• Utilize appropriate methods to ensure all documented professional services are submitted timely.
• Utilizes correct coding practices to file clean claims aiding in improved cash flow.

• Associate’s degree in a work-related field / discipline from an accredited college or university. Relevant experience in lieu of degree may be considered (requires approval). Relevant experience in lieu of degree is in addition to the experience requirements for this position.

• Two (2) years of progressively responsible and directly related work experience

• Ability to adapt to and deal with change and ambiguity
• Ability to foster effective working relationships and build consensus
• Ability to plan, organize, prioritize, work independently and meet deadlines
• Ability to solve technical and non-technical problems
• Ability to utilize the ICD-9-CM & CPT-4 coding conventions to code medical record entries; abstract information from medical records; read medical record notes and reports; set accurate Diagnostic Related Groups
• Ability to work effectively with individuals at all levels of the organization
• Knowledge of CCI (Correct Coding Initiatives) and CMS compliance issues
• Knowledge of computer systems and software used in functional area
• Knowledge of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy and physiology and study of diseases

• CPC and/or CCSP - Certified Professional Coder . or
• RHIT - Registered Health Information Technician . or
• RHIA - Registered Health Information Administrator . or
• CCS - Certified Coding Specialist .

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient‑experience and represents a framework for patient‑centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

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