Coder , Remote

Position: Coder I, Remote
Location: Access

Primary

Location:

Work From Home - KY - ULP - CMGAddress:

Home Office Remote, KY 40601

Shift: First Shift (United States of America)

Job Description

Summary:

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center.

With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Job Description:

The Coder I is responsible for abstraction and assigning valid CPT, ICD-10, HCPCs codes and modifiers to ensure appropriate reimbursement in accordance with federal state, and private health plans as well as organization and regulatory guidance. This role is typically responsible for less complex coding with oversight.

Essential Functions:

Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-10, and HCPCs codes into the appropriate billing systems, ensuring compliance with established guidelines

Reviews and resolves coding denials

Completes charges sessions in the assigned work queues in a timely manner

Completes documentation meeting the current EM Guidelines for providers

Ensures documentation meets the Teaching Physician Rules as mandated by CMS and ULH Policies prior to release of a code for billing

Ensures documentation for Advanced Practice Providers meets the payer-specific rules prior to release of a code for billing

Provides comments/suggestion relative to weak areas identified in the coding reviews

Provides trending deficiencies to Senior Manager and Compliance Educator, as appropriate

Other Functions:

Meets or exceeds organizational coding production and quality standards

Participates in special projects and completes other duties as assigned

Maintains daily/weekly communication with office managers, department, and providers.

Ability to work within a team environment and meet monthly goals

Maintain compliance with rules and regulations regarding coding

Responds in a timely manner to questions from manager, providers, department, and representatives

Maintains compliance with all company policies, procedures and standards of conduct

Complies with HIPAA privacy and security requirements to maintain confidentiality at all times

Performs other duties as assigned

Additional

Job Description:

Education:

High school diploma or GED/equivalent (required)

Experience:

One to four (1-4) years physician coding experience (preferred)
Certification:

Certified Professional Coder (CPC) accredited by the American Academy of Professional Coders (AAPC) (required)
Certified Coding Specialist (CCS), Certified Coding Specialist Physician Based (CCS-P) or Certified Coding Assistant (CCA) accredited by the American Health Information Management Association (AHIMA) (required)