JOB SUMMARY

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The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding.

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The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties.

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Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.)

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The Coder 2 will abstract and enter required data.

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WORK MODEL & SALARY

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100% Remote 

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The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience

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ESSENTIAL FUNCTIONS OF THE ROLE

\n\nExamines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.\nReviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.\nCommunicates with providers for missing documentation elements and offers guidance and education when needed.\nReconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.\nWorks collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.\nReviews and edits charges.\n\n

KEY SUCCESS FACTORS

\n\nSound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.\nSound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.\nSound knowledge of anatomy, physiology, and medical terminology.\nDemonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.\nSound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.\nAbility to interpret health record documentation to identify procedures and services for accurate code assignment.\nFlexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.\n\n

Must have one of the following Certifications:

\n\nRegistered Health Information Administrator (RHIA)\nRegistered Health Information Technologist (RHIT)\nCertified Coding Specialist (CCS)\nCertified Coding Specialist Physician-based (CCS-P)\nCertified Professional Coder (CPC)\nCertified Outpatient Coder (COC)\nCertified Inpatient Coder (CIC)\nCertified Interventional Radiology Cardiovascular Coder (CIRCC)\n\n

BENEFITS

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Our competitive benefits package includes the following:

\n\nImmediate eligibility for health and welfare benefits\n401(k) savings plan with dollar-for-dollar match up to 5%\nTuition Reimbursement\nPTO accrual beginning Day 1\n\n

Note: Benefits may vary based upon position type and/or level

QUALIFICATIONS

\n\nEDUCATION - H.S. Diploma/GED Equivalent\nEXPERIENCE - 2 Years of Experience\nCERTIFICATION/LICENSE/REGISTRATION\n\nMust have ONE of the coding certifications as listed:\n\nCert Coding Specialist (CCS)\nCert Coding Specialist-Physician (CCS-P)\nCert Inpatient Coder (CIC)\nCert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)\nCert Professional Coder (CPC)\nReg Health Info Administrator (RHIA)\nReg Health Information Technician (RHIT).\n\n\n\n\n