Coder II - OP Physician Coding (Ortho Specialty) - remote

Coder II –OP Physician Coding (Ortho Specialty)

Remote, United States

Full Time

JOB SUMMARY

• The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding.
• 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.
  • 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.)
    • The Coder 2 will abstract and enter required data.

      WORK MODEL

      100% Remote

      SALARY

      The pay range for this position is $26.27 (entry-level qualifications) –$39.41 (more experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior coding experience.

      ESSENTIAL FUNCTIONS OF THE ROLE

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

        KEY SUCCESS FACTORS

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

          Must have one of the following Certifications:

          • Registered Health Information Administrator (RHIA)
          • Registered Health Information Technologist (RHIT)
          • Certified Coding Specialist (CCS)
          • Certified Coding Specialist Physician-based (CCS-P)
          • Certified Professional Coder (CPC)
          • Certified Outpatient Coder (COC)
          • Certified Inpatient Coder (CIC)
          • Certified Interventional Radiology Cardiovascular Coder (CIRCC)

            BENEFITS

            Our competitive benefits package includes the following:

            • Immediate eligibility for health and welfare benefits
            • 401(k) savings plan with dollar-for-dollar match up to 5%
            • Tuition Reimbursement
            • PTO accrual beginning Day 1

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

              QUALIFICATIONS

              • EDUCATION –H.S. Diploma/GED Equivalent
              • EXPERIENCE –2 Years of Experience
              • CERTIFICATION/LICENSE/REGISTRATION –: Must have ONE of the coding certifications as listed:
                • Cert Coding Specialist (CCS)
                • Cert Coding Specialist-Physician (CCS-P)
                • Cert Inpatient Coder (CIC)
                • Cert Interv Rad CV Coder (CIRCC) –Cert Outpatient Coder (COC)
                • Cert Professional Coder (CPC)
                • Reg Health Info Administrator (RHIA)
                • Reg Health Information Technician (RHIT).