Coder Reimbursement

company

This health system is one of the largest faith-based, nonprofit health care delivery systems in the United States. It has 29 hospital locations including 19 acute-care hospital locations, five short-stay hospitals, two behavioral health hospitals, two rehabilitation hospitals and one transitional care hospital, all owned, operated, joint-ventured or affiliated with the system. It has more than 3,900 licensed beds, employs more than 24,000 people, and counts more than 6,000 physicians* with active staff privileges at its hospitals.

overview

"Must Have" Skills for This Job: 1. Minimum education required: High school diploma or equivalent (GED) 2. Preferred: Associate’s degree in related field 3. 2 years coding experience and (Completion of college level courses in medical terminology, anatomy and physiology, and pathophysiology). 4. Neurology // Neurosurgical or Orthopedic Surgery Coding experience preferred*** Licensure/certification required UPON HIRE: CPC - Certified Professional Coder -OR- CCS-P-Certified Coding Specialist -Physician Based Preferred: UPON HIRE Specialty certification such as CGSC - Certified General Surgery Coder COSC - Certified Orthopedic Coder CCC - Certified Cardiology Coder ***AAPC Specialty Credentials Preferred*** Tell Me About this Job: Responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes 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 moderately complex coding with general oversight. Accurately abstracts information from the medical records assigns ICD-9/10-CM, CPT-4, and HCPCS level II codes in compliance with established guidelines. Provides codes to various departments upon request. Reviews supporting clinical documentation for hospital based services and procedures to ensure accurate code assignment in support of third party payer guidelines. Maintains documentation to record/track discrepancies. Validates charges using appropriate tools and validates diagnosis with the medical documentation provided. Compares hospital charges posted against procedures coded and identifies any discrepancies. Notifies leadership of any discrepancies and collaborated to rectify the same. Participates in special projects and completes other duties as assigned. WORK SCHEDULE: Full-time Days 40 hours weekly (THIS IS NOT A REMOTE POSITION) **All candidates must have their CPC, not CPC-A (meaning apprentice).

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