Coder II Oncology Radiology

DHR Health - US:

TX:

Edinburg
- Days

Summary:

FLSA STATUS:
Exempt Non-Exempt

MISSION STATEMENT:

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

VISION:

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.

POSITION SUMMARY:

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
• Reconcile CPT(s)
• Resolves billing edits according to 3M Code editor
• Participates in educational activities and attend staff meetings.

POSITION EDUCATION/

QUALIFICATIONS:

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

JOB KNOWLEDGE/

EXPERIENCE:

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

Responsibilities:

POSITION RESPONSIBILITIES:

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 "65 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…