Coder I, Gastroenterology & Endocrinology, Remote

University of Louisville Physicians; Ohio; Hybrid; USD 30,000 - 44,000; Full time

Job summary

University of Louisville Physicians is seeking a Coder I to join a remote Work From Home role in Ohio. You will abstract clinical information and assign CPT, ICD-10, HCPCS codes and modifiers to ensure compliant reimbursement under CMS and payer guidelines.

The position requires a high school diploma or GED, 1–4 years physician coding experience, and CPC and CCS/CCS-P/CCA certifications. Collaboration with providers and managers will help resolve denials and maintain coding quality.

Qualifications

• High school diploma or GED/equivalent is required.
• 1–4 years physician coding experience is preferred.
• CPC, CCS, CCS-P or CCA certifications are required.

Responsibilities

• Abstract information from service documentation and assign CPT, ICD-10, HCPCS codes and modifiers.
• Review and resolve coding denials.
• Complete charges sessions in assigned work queues in a timely manner.
• Ensure documentation meets EM Guidelines for providers and CMS Teaching Physician Rules.
• Ensure documentation for Advanced Practice Providers meets payer-specific rules prior to billing.

Education

High School Diploma or GED

Certified Professional Coder (CPC)

Certified Coding Specialist (CCS)

CCS-P or CCA

Job description

Primary Location: Work From Home - OH Address: Home Office Remote, OH 44053 Shift: First Shift (United States of America)

Job Description Summary: UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Job Description:

The Coder I is responsible for abstraction and assigning valid CPT, ICD-10, HCPCs codes and modifiers to ensure appropriate reimbursement in accordance with federal state, and private health plans as well as organization and regulatory guidance. This role is typically responsible for less complex coding with oversight.

Essential Functions:

• Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-10, and HCPCs codes into the appropriate billing systems, ensuring compliance with established guidelines
• Reviews and resolves coding denials
• Completes charges sessions in the assigned work queues in a timely manner
• Completes documentation meeting the current EM Guidelines for providers
• Ensures documentation meets the Teaching Physician Rules as mandated by CMS and ULH Policies prior to release of a code for billing
• Ensures documentation for Advanced Practice Providers meets the payer-specific rules prior to release of a code for billing
• Provides comments/suggestion relative to weak areas identified in the coding reviews
• Provides trending deficiencies to Senior Manager and Compliance Educator, as appropriate

Other Functions:

• Meets or exceeds organizational coding production and quality standards
• Participates in special projects and completes other duties as assigned
• Maintains daily/weekly communication with office managers, department, and providers.
• Ability to work within a team environment and meet monthly goals Maintain compliance with rules and regulations regarding coding
• Responds in a timely manner to questions from manager, providers, department, and representatives
• Maintains compliance with all company policies, procedures and standards of conduct
• Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
• Performs other duties as assigned

Education:

• High school diploma or GED/equivalent (required)

Experience:

• One to four (1-4) years physician coding experience (preferred)

Certification:

• Certified Professional Coder (CPC) accredited by the American Academy of Professional Coders (AAPC) (required)
• Certified Coding Specialist (CCS), Certified Coding Specialist Physician Based (CCS-P) or Certified Coding Assistant (CCA) accredited by the American Health Information Management Association (AHIMA) (required)

Additional Job Description:

UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital. With more than 14,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. Please login into Workday and search for Job Hub.