• ED Coder - Profee

    Req No
    2019-5167
    Type
    Contract to Permanent (Full Time)
  • Overview

    The purpose of this position is to support the coding and charge capture needs of the Hospitals

    Specialty Group providers.  The Professional Coder will be responsible for abstracting diagnosis and service

    information from the medical record and assigning ICD-9-CM (or ICD-10-CM) diagnosis codes to support

    medical necessity for services and reporting provider services suing CPT/HCPCS codes and appropriate

    modifiers.  The coder will assign codes in a compliant manner following CMS, AMA, and other governmental

     guidelines and principles.  The practices in our multi-specialty surgical group include but are not limited to

    Orthopedics/Sports Medicine, Urology, GI, General Surgery, Neurosurgery, ENT, ED, Cardiology, and

    Interventional Radiology in a pediatric setting.

    Responsibilities

      • The coder will monitor unbilled surgical/procedural services.

       

      • The coder will review physician documentation of procedural services and assign appropriate diagnostic

      (ICD-9-CCM and/or ICD-10-CM) and procedural codes (CPT/HCPCS).

       

      • The coder will enter and/or review charges for provider services. When coding for Emergency Department

      encounters, charge capture may include facility services.

       

      • The coder will monitor charge review queues to ensure that all accounts flow through to billing

      appropriately.

       

      • The coder will query physicians when code assignments are not straightforward or documentation in the

      record is inadequate, ambiguous, or unclear for coding purposes.

       

      • The coder keeps abreast of coding guidelines and reimbursement reporting requirements. He/she brings

      identified concerns to his/her supervisor for resolution.

       

      • The coder abides by the Standards of Ethical Coding as set forth by the American Health Information

      Management Association and adheres to official coding guidelines.

    Qualifications

    EDUCATION  and/or  EXPERIENCE REQUIRED

    High School Diploma, GED, or a higher level of education that would require the completion of high school, is required. 2 or more years' work experience in a healthcare setting or equivalent

    education. Multi-specialty surgery coding experience with CPT/HCPCS including modifiers and ICD-9-CM/ICD-10-CM

    coding for physician professionals

    LICENSE  and/or  CERTIFICATION REQUIRED

    REQUIRED: American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC) or

    American Health Information Management Association (AHIMA) Certified Coding Specialist – Physician- or Certified Outpatient Coding (COC)

    PREFERRED: AAPC Specialty certification, AHIMA approved ICD-10-CM trainer based (CCS-P)

     

    SKILLS

    KNOWLEDGE OF: 

    • Extensive knowledge of anatomy and medical terminology.
    • Maintains, and increases knowledge of issues that affect coding and billing and the healthcare industry.
    • Regulatory requirements pertaining to healthcare operations in the practice and hospital settings.
    • ICD-9-CM (Vol 1 and 2) Official Coding Guidelines
    • CPT® and HCPCS Level II Coding Guidelines including Evaluation & Management Coding, Surgical

    Coding, and the use of Modifiers

    • Data management techniques

    SKILLS:

    • Advanced Computer skills, PC experience w/ Windows-based applications.
    • Communication skills including strong verbal, written, and interpersonal skills.
    • Keyboarding skills with ability to type 40 wpm minimum.

    ABILITY TO:

    • Analyze complex medical records and identify billable services.
    • Work with individuals at all levels within the organization and the community; effectively communicate with

    providers.

    • Manage and prioritize workloads to meet deadlines.
    • Research coding questions.
    • Gather, review and compile information and prepare reports, often with deadlines
    • Maintain quality and compliance standards
    • Maintain confidentiality of information
    • Function in a fast-paced environment with strong attention to detail meeting productivity and accuracy

    Peak Health Solutions, an AMN Healthcare company, is an EEO/AA/Disability/Protected Veteran Employer We encourage minority and female applicants to apply

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed