General Surgery, Profee Coding Specialist
About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:Coding Specialists 2 are an important part of the Team Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding for 4 or more specialties for one or more clients, facility, or multiple facilities or clients. The Coding Specialist 2 will code Professional Fee, Facility or HCC. The Coding Specialist 2 could be an Inpatient coder or could include a minimum of four specialists.
Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include IR, Infection Disease, OBS, Oncology, Neurology, SDS, OT, PT, Urgent Care, ED, or a variety of other specialties.
Note:
The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Team Member must be able to work from home and be independent in their coding skills. Provide various components of coding services to support our clients. Calculate Pro Fee and/or Facility E/M levels by using an algorithm created by our company (training is provided). Recognize critical care cases by patient acuity. Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.
Apply ICD-10-CM diagnosis codes to the highest level of specificity available. Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS. Interpret coding guidelines for accurate code assignment. Identify the importance of documentation on code assignment and the subsequent reimbursement impact. Must maintain quality and productivity standards. Communicate with clients in a professional manner that fosters an excellent working relationship to support the company and its business interests.
May assist Leadership, or Lead Coding Specialist, with reports as needed. Potential opportunity to begin helping with auditing. Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program. Comply with all internal policies and procedures. All Coders must maintain at least one credential either through AAPC or AHIMA.
Actively participate in Company provided training and education. Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.
QUALIFICATIONS & REQUIREMENTS:
All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P) Must have a minimum of 2 years of experience. Must have advanced working knowledge and experience with systems such as EMR, Billing, etc Must be proficient in Microsoft programs like Excel and Outlook. Examples include:
Excel you should be able to open and…
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