Pro Fee Coder - Behavioral Health jobs in United States
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Savista ยท 5 hours ago

Pro Fee Coder - Behavioral Health

Savista is a company that partners with healthcare organizations to enhance revenue cycle improvement services. The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes while ensuring compliance with regulatory standards and maintaining data integrity.

AccountingBillingHealth Care

Responsibilities

Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type
Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record
Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected
Complete assigned work functions utilizing appropriate resources. May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries
Maintain strict patient and provider confidentiality in compliance with all HIPPA Guidelines
Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required
Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing
Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials

Qualification

ICD-10 codingCPT/HCPCS codingAHIMA/AAPC credentialMedical terminologyCoding experienceComputer knowledgeAnatomyPhysiologyPathophysiologyPharmacologyExcel proficiencyData entryInterpersonal skillsProblem-solving skills

Required

An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential
Two years of recent and relevant hands-on coding experience
Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets
Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards
Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files, (Outlook, Word, Excel)
Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers

Preferred

Recent and relevant experience in an active production coding environment strongly preferred
Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience
Experience using Athena, Optum (a plus)

Company

Savista

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Savista is a revenue cycle management that provides operational transformation services to acute and ambulatory facilities and systems.

Funding

Current Stage
Late Stage

Leadership Team

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Jan T. Grimm
Chief Executive Officer
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Company data provided by crunchbase