CBO Certified Coder II

Driscoll Health Plan; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

Driscoll Health Plan seeks an experienced medical coder to review records, assign ICD/CPT codes, and support outpatient coding operations. The role includes auditing, responding to denials, and collaborating with the billing office to ensure accurate coding.

Ideal candidates have 3–5 years of physician coding experience, with pediatric multi-specialty coding preference, and a GED or higher. On-site position with regular educational involvement.

Qualifications

• Requires 3–5 years related experience and/or training.
• Experience with physician coding and pediatric multi-specialty coding preferred.

Responsibilities

• Reviews the medical records and assigns the appropriate ICD and CPT codes.
• Codes all outpatient record types daily.
• May assist with audits as needed.
• Monitors assigned charge review work queue.
• Codes records in a timely manner.
• Maintains satisfactory coding performance per accuracy targets and productivity.
• Assist with billing staff coding questions to assist with denials.
• Responds to coding requests from internal and external customers (business office, physician office).
• Requests information needed from physician as needed.
• Participates in educational programs and department meetings.
• Performs other duties as required by CBO Coding Manager and/or Director.

Skills

Physician coding experience

Pediatric coding

Education

High school diploma or GED; or Associate’s degree

Job description

Where compassion meets innovation and technology and our employees are family.

Thank you for your interest in joining our team! Please review the job information below.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

• Always maintains utmost level of confidentiality.
• Adheres to hospital policies and procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Reviews the medical record and assigns the appropriate ICD and CPT codes.
• Codes all assigned outpatient record types daily.
• May assist with audits as needed.
• Monitors assigned charge review work queue.
• Codes records in a timely manner.
• Maintains satisfactory coding performance in accordance with the department’s accuracy target and productivity requirements for each record type.
• Assist with billing staff coding questions to assist with denials.
• Responds to coding requests from internal and external customers, i.e. business office, physician office.
• Requests information needed from physician as needed.
• Participates in attending educational programs, hospital and departmental staff meeting.
• Performs other duties as required by CBO Coding Manager and/or Director

EDUCATION AND/OR EXPERIENCE:

High school diploma or general education degree (GED); or Associate’s degree (A. A.) or equivalent from two-year college or technical school; three to five years related experience and/or training; or equivalent combination of education and experience.

• 3 -5 years’ physician coding experience preferred.
• Pediatric multi-specialty coding experienced preferred

CERTIFICATES, LICENSES, REGISTRATIONS.

• Certified as any of the following: CCS, CCS-P, CPC, AAPC specialty coding certifications, RCC Radiology coding certification.
• Must maintain continuing education hours to maintain certification.