Coder Certified

Solaris Health Holdings LLC

United States

On-site

USD 60,000 - 90,000

Full time

15 hours ago

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Benefits offered by this job

Health savings account

Paid time off

Retirement plan

Job summary

Solaris Health Holdings LLC in the United States is seeking a Coder Certified to code cases with high accuracy to ensure maximum reimbursement. The role collaborates with the Coding Supervisor to resolve coding issues and prevent denials while upholding HIPAA and coding guidelines for government and third-party payers.

The ideal candidate holds CPC/CCS-P/CMRS or AAPC certification, with at least 3 years of coding experience (urology/physician practice a plus).

Qualifications

High School diploma or equivalent required.
CPC, CCS-P, CMRS or AAPC certification required.
Minimum 3 years of coding experience; experience in urology or physician practice preferred.

Responsibilities

Review chart documentation for accuracy and resolve inconsistencies.
Collaborate with providers to obtain complete documentation for coding.
Ensure adherence to CPT/HCPCS/ICD guidelines and payer rules.
Maintain quality and productivity standards within compliance policies.
Identify opportunities to improve coding efficiency and accuracy.

Skills

Communication skills

Medical terminology

CPT coding

ICD coding

Revenue cycle

EHR familiarity

Microsoft Office

Payer guidelines

Healthcare compliance

Analytical skills

Problem solving

Multitasking

Reporting

Presentations

Self-motivation

Teamwork

Denials prevention

Education

High School Diploma or equivalent

Tools

EHR systems

Microsoft Office

Job description

We offer competitive pay as well as PTO, Holiday pay, and comprehensive benefits package!

Health savings account
Paid time off
Retirement plan

GENERAL SUMMARY

The Coder Certified is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement. The Coder Certified will ensure quality and productivity standards are met. The Coder Certified will ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. They work with the Coding Supervisor to escape coding issues and prevent untimely claim submission and denials.

ESSENTIAL JOB FUNCTION/COMPETENCIES

The responsibilities and duties described in this job description are intended to provide a general overview of the position. Duties may vary depending on the specific needs of the affiliate or location you are working at and/or state requirements. Responsibilities include but are not limited to:

Reviews chart documentation for accuracy and completeness, identify inconsistencies in chart documentation, and work with appropriate staff and Coding Supervisor to resolve issues.
Communicates with Claims Resolution Specialists and Business Office staff when necessary to resolve errors and clarify issues.
Demonstrates and use in-depth knowledge of CPT, HCPCS, modifiers, diagnosis codes, insurance coverage plans, medical terminology, and anatomy and physiology.
Works collaboratively with providers to obtain complete documentation to support coding.
Stays accountable to quality and productivity standards, and monitor compliance with policies and procedures.
Identifies process opportunity trends and recommend ways to improve efficiencies.
Responsible for maintaining current knowledge of coding guidelines and relevant state and federal regulations.
Ensures adherence to third party and governmental regulations relating to coding, documentation, compliance, and reimbursement.
Participates in special projects, personal development training, and cross training as instructed.
Informs Coding Supervisor of trends, inconsistencies, discrepancies, or payer changes for immediate resolution.
Works in conjunction with peers and functional areas of the Coding and Revenue Integrity department for the betterment of completing tasks and the company overall.
Performs other position related duties as assigned.
Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.

CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS

CPC, CCS-P, CMRS or AAPC required.

KNOWLEDGE | SKILLS | ABILITIES

Demonstrates an understanding of business operations and how individual actions contribute to overall performance.
Excellent customer service, verbal, and written communication skills.
Knowledge of medical terminology, CPT and ICD coding, and the full revenue cycle process.
Familiarity with Electronic Health Record (EHR) systems and Microsoft Office applications.
Understanding of Medicare, Medicaid, managed care, and third-party payer guidelines.
Knowledge of governmental regulations and healthcare compliance requirements.
Strong analytical and problem-solving skills with the ability to draw conclusions and make recommendations.
Ability to handle multiple tasks and manage competing deadlines with a high level of accuracy and attention to detail.
Capable of developing reports and creating professional presentations.
Well-organized and able to maintain confidentiality in handling sensitive information.
Self-motivated with a focus on maintaining productivity and efficiency.
Ability to work independently and collaboratively across teams and departments.
Ability to recognize coding issues and prevent untimely claim submission and denials.