Coder - Clinic (Remote)

Scionhealth; United States; Hybrid; USD 50,000 - 75,000; Full time

Job summary

ScionHealth is seeking a skilled Medical Coder to join our coding team. You will code diagnoses, procedures, and operations from patient records using ICD-10-CM, CPT, and HCPCS guidelines, ensuring accuracy and compliance.

Applicants should have at least 3 years of professional coding experience, be fluent in English, and demonstrate excellent organizational and communication abilities. This role offers remote work with periodic onsite presence at our facilities in the United States, and

Qualifications

• Knowledge of medical terminology and coding systems (ICD-10-CM, CPT, HCPCS).
• Ability to understand and code medical records.
• Effective communication skills, both written and oral.
• Strong organizational and follow-through abilities.
• Fluent English reading, writing, and speaking.
• Remote work environment with periodic onsite presence as needed.

Responsibilities

• Code diagnoses, procedures, and operations from patient records using ICD-10-CM.
• Assign accurate CPT and HCPCS codes based on documentation.
• Consult practice designee for questions on diagnoses or terminology to assign accurate codes.
• Enter final diagnostic codes for diagnoses and procedures.
• Ensure coding compliance with regulatory agencies and internal procedures.
• Report coding discrepancies to Directors for accuracy.
• Provide information in response to coding questions.
• Abstract and retrieve medical data for evaluation and research.
• Promote compliance with Code of Conduct and related agreements.
• Remote work environment with periodic onsite presence.

Skills

ICD-10-CM codes

CPT coding

HCPCS level II codes

Medical records coding

Communication skills

Attention to detail

Confidentiality

Education

High School diploma or equivalent

College degree preferred

Job description

At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

Codes medical records, including all diagnoses, operative and diagnostic procedures in patient medical records, using the International Classification of Diseases and enters coded information into an automated system.

Essential Functions

• Using the coding system, assigns and records an accurate code to all diagnoses, procedures, and operations as documented in the patient medical record based on official coding guidelines.
• Ensures that all factors necessary for assigning an accurate CPT are present, and that all diagnoses are recorded properly.
• Contacts practice designee regarding questions on diagnoses, need for greater detail or different terminology to assign accurate codes to medical records.
• Enter final diagnostic codes for diagnoses and procedures.
• Complies with internal procedures established to ensure compliance with regulatory agencies
• Reports on potential coding discrepancies to Director of Physician Coding and Director of Physician Auditing & Education to assure that only accurate and properly documented services are coded in accordance with Federal False Claims.
• Provides information and responds to inquiries regarding medical documentation and coding questions.
• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, the Support Center Compliance Agreement, applicable federal and state laws, and applicable professional standards.
• Promotes adherence to the Company’s Code of Business Conduct and the Support Center Compliance Agreement by monitoring employee performance and identifying and responding to compliance issues.
• Abstracts and retrieves medical data for evaluation, planning, or research in health care and related programs.

Knowledge/Skills/Abilities/Expectations

• Knowledge of medical terminology, International Classification of Diseases (ICD-10-CM) codes, current procedural terminology (CPT) and HCPCS level II codes as appropriate.
• Ability to understand and code medical records.
• Ability to communicate effectively both orally and in writing.
• Exceptional organizational and follow-through skills.
• Ability to maintain confidentiality of all patients and/or employee information to assure patient and/or employee rights are protected.
• Approximate percentage of time required to travel: 0%
• Must read, write and speak fluent English.
• Must have good and regular attendance.
• Performs other related duties as assigned.
• Sedentary work with extensive use of computers
• Remote work environment with periodic onsite presence at facility or physician practice

Qualifications

Education

• High School or equivalency diploma required.
• College degree preferred.

Licenses/Certifications

• Current coding certification required (e.g., AHIMA, AAPC or other accepted certification)

Experience

• 3 years professional coding experience (specialty coding preferred)