Details
- Department : Revenue Cycle Management
- Schedule : Fulltime, M-F 8 : 00am - 5 : 00pm
- Hospital : Seton Family Hospitals
- Location : Remote
- Salary : $26.60 - $31.92 per hour
Benefits
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.
Responsibilities
Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing.
Responsibilities :
Abstract pertinent information from patient records. Assign the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) orDiagnosis-Related Group (DRG) assignments.
Perform complex coding.Obtain acceptable productivity / quality rates as defined per coding policy.Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.Maintain knowledge of, comply with and keep abreast of coding guidelines and reimbursement reporting requirements.Conduct chart audits for physician documentation requirements & internal coding; provide associate / physician & education as appropriate.Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.Requirements
Licensure / Certification / Registration :
One or more of the following required :Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
Certified Outpatient Coding (COC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.Medical Certified Professional Coder (CPC) credentialed from the Practice Management Institute (PMI) obtained prior to hire date or job transfer date.Coder obtained prior to hire date or job transfer date.Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.Education :
High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.Note : Required professional licensure / certification can be used in lieu of education or experience, if applicable.
Additional Preferences
2-3 years experience with surgical coding preferred (preferably Plastic surgery)Accurately assign CPT, ICD-10-CM, and HCPCS codes for over 100+ medical records monthly in a fast-paced, multi-specialty medical group setting.Review clinical documentation to ensure proper code assignment and optimal reimbursement while maintaining compliance with federal regulations and payer policies.Utilize EMR systems (e.g., Epic, Cerner, Athena) and encoder software for efficient coding and claim submission.Maintain a consistent coding accuracy rate above 98% and contribute to team efforts to reduce claim denials and improve revenue cycle performance.Stay current with annual coding updates, payer guidelines, and industry best practices through continuing education and certification renewal.