Coder II Oncology Radiology

US:

TX:

Edinburg | ONCOLOGY | Full Time

DHR Health - US:

TX:

Edinburg - Days

Summary:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

This is a mid-level, work from work position. Coder is responsible for:

• Analyzing provider documentation in Cerner and ARIA
• Assign and sequence ICD-10-CM, CPT®/HCPCS appropriately
• Append billing modifiers when appropriate
• Resolves billing edits according to 3M Code editor
• Participates in educational activities and attend staff meetings.

• Coding credential from an accredited coding organization required
• Credentials from AHIMA, AAPC preferred
• Extensive knowledge of medical terminology
• Knowledge of Coding Guidelines
• Knowledge of CPT rules and regulations
• Knowledge of NCCI policies
• Highly reliable
• Must be a team player with good people skills and possess strong initiative to get daily work finished and processed
• Maintain productivity levels

• Extensive experience in medical coding, medical terminology, and anatomy and physiology required; 3 year of coding experience preferred
• Requires reasoning ability and good independent judgment
• Ability to perform productive research quickly
• Requires working with minimal interruptions
• Must have an understanding of laws and ethics related to health insurance, medical billing and Health insurance Portability and Accountability Act (HIPPA)
• Computer and coding software experience required, 3M encoder preferred
• Advanced computer skills required with knowledge of Microsoft Office suite
• Experience in Professional coding and billing a plus

• Promote the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
• Coding ICD-10-CM to the highest level of specificity
• Accurately Code outpatient procedures according to CPT guidelines
• Must be able to validate CPT based on medical record documentation
• Ability to code outpatient record types such as:
  Radiation/Chemo Oncology, Infusions, etc.
• Query physicians for clarification when ambiguous, vague, or incomplete information is identified
• Ability to accurately attach HCPCS Level I and Level II modifiers for billing purposes
• Utilize computerized 3M Coding Software
• Utilize and research 3M Coding references for final coding
• Must be able to identify medical abbreviations, terms and their meanings
• Code all available records in a timely manner
• Must be able to multitask
• Meet quality standards of having ≥ 95% of charts coded accurately
• Meet productivity standards set forth by the coding manager
• Communicate with Coding Manager to solve problems and to clarify coding issues
• Assign mnemonics to unbilled accounts as appropriate
• Maintain a good working relationship within the department, other departments, and medical staff
• Assist the business office with clearing reimbursement and denial issues
• Clear AEOS in a timely manner
• Communicate via email and/or phone with other departments to obtain pertinent information in order to code the account
• Willing to transition into Inpatient coding
• Coding of introductory level Inpatient accounts may be required
• Communicate with RMF clinic management to ensure timely professional billing
• Ability to identify and accurately assign discharge/disposition status
• Must take initiative to further coding knowledge
• Attend workshops, seminars or conferences that…