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Company

Fairview Health Services · 3 days ago

Coder 2 - Remote

St Paul, MN

Part-time

Remote

Entry Level

1+ years exp

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Responsibilities

Analyzes clinical documentation; assigns appropriate diagnosis, procedure, and levels of service codes; abstracts the codes and other clinical data.

Performs a variety of technical functions within the Outpatient coding area, codes outpatient visits, sent-in-labs, consolidated funding accounts, utilizing ICD-10-CM, CPT-4, and HCPCs Coding Classification systems.

Utilizes an electronic coding software to code to the highest level of specificity, ensuring optimal and appropriate reimbursement for the services provided.

Responsibility includes resolving medical necessity edits and extracting and entering data into the medical record.

This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements.

Resolves clinical documentation and charge capture discrepancies and provides feedback to providers on the quality of their documentation and charging.

Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards.

Actively participates in creating and implementing improvements.

Assigns ICD-10, CPT-4, and HCPCs codes to all diagnoses, treatments, and procedures, according to official coding guidelines.

Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.

Extracts required information from electronic medical record and enters encoder and abstracting system.

Follows-up on unabstracted accounts to assure timely billing and reimbursement.

Resolves any questions concerning diagnosis, procedures, clinical content of the chart or code selection through research and communication.

May query physicians on documentation according to established procedures and guidelines.

Meets departmental productivity and quality standards.

Complete projects as assigned.

Performs other responsibilities as needed/assigned.

Timely and accurate work.

Contributes to the process or enablement of collecting expected payment.

Understands and adheres to Revenue Cycle’s Escalation Policy.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

ICD-10CPT-4HCPCsCoding SoftwareHealthcare ExperienceRegistered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)Certified Coding Specialist (CCS)Certified Professional Coder (CPC)Certified Coding Specialist – Professional (CCS-P)Certified Professional Coder - Hospital (CPC-H)Certified Outpatient Coder (COC)Timely Work

Required

Certificate program in coding or associate degree in HIM or a certificate with 1-3 years of healthcare experience (MA, HUC, Revenue Cycle)

1 year experience required if appropriate coursework has been completed

Outpatient or Professional Fee Coding, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist – Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H) COC – Certified Outpatient Coder, AAPC specialty certifications

Preferred

Associates or bachelor’s degree

At least 1 year of coding experience

Outpatient or Professional Fee Coding: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist – Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H) COC – Certified Outpatient Coder.