Hours: M-F Day

Full Time: 40 hours/week

General Summary

Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical documentation and reports for quality assessment, audit, and billing purposes.

Duties and Responsibilities

Performs chart audits, reviewing for accuracy and compliance.Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) procedure codes (CPT), and other items (HCPCS) for final billing.Research and process invoice corrections.Reviews and analyzes coding/billing procedures.Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.Coordinates and implements reimbursement improvement activities with staff and providers.Adheres to WellSpan Coding Compliance Guidelines

Qualifications

Minimum Education:

High School Diploma or GED Required

Work Experience:

1 year Relevant coding experience. RequiredPrefer ENT coding experience or Surgical coding experience

Licenses:

Certified Professional Coder Upon Hire Required orCertified Coding Specialist - Physician Based Upon Hire Required orCertified Medical Coder Upon Hire Required orCertified Professional Coder Apprentice Upon Hire Required orCertified Outpatient Coder Upon Hire Required

Courses and Training:

Home Care Coding Specialist-Diagnosis (HCS-D) - Only required for VNA Home Health Services. Upon Hire Required

Knowledge, Skills, and Abilities:

Knowledge of ICD-10-CM, CPT-4, and HCPCS coding.Basic computer skills.

Benefits Offered:

Comprehensive health benefitsFlexible spending and health savings accountsRetirement savings planPaid time off (PTO)Short-term disabilityEducation assistanceFinancial education and support, including DailyPayWellness and Wellbeing programsCaregiver support via WellthyChildcare referral service via Wellthy You’re unique and you belong here.

At WellSpan Health, we are committed to treating all applicants fairly and equitably, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email at . We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us.