Coder I - Home & Community Care Admin

PeaceHealth; Vancouver (WA); À distance; USD 33 000 - 49 000; Plein temps

Résumé du poste

PeaceHealth is hiring a Coder I - Home & Community Care Admin for a full-time, remote role. The position codes outpatient medical records using ICD-10-CM and CPT-4, ensuring accuracy for reimbursement and data quality.

Requires an accredited coding program, knowledge of CMS requirements, and experience with ICD-10-CM/CPT-4. Must reside in WA/OR/AK, and be able to work independently in a remote environment.

Qualifications

• Accredited coding education or equivalent experience.
• Formal coding certificate/program preferred.
• Knowledge of ICD-10-CM and CPT-4.
• Experience with outpatient coding and auditing is a plus.

Responsabilités

• Review records, code diagnoses/procedures using ICD-10-CM and CPT-4 conventions for reimbursement and compliance.
• Ensure specificity of diagnoses and procedures for appropriate reimbursement.
• Abstract data from medical records following established methods.
• Identify problem documents and correct errors with submitting departments.
• Review and correct claim and code edits as required.

Connaissances

MS Office

Written & verbal communication

Attention to detail

CMS knowledge

Remote work capability

CAC experience

Epic EMR experience

Formation

Accredited Coding program

Formal coding certificate program

Outils

Epic EMR

3M CAC

Description du poste

Job Description

PeaceHealth is seeking a Coder I - Home & Community Care Admin for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $23.74 – $35.62. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc

Description

PeaceHealth is seeking a Coder I - Home & Community Care Admin for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $23.74 – $35.62. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc

This position will be performed fully remote. If telecommuting, PeaceHealth will provide the caregiver with necessary computer equipment. It is the responsibility of the caregiver to provide Internet access

• Must reside in Washington, Oregon, or Alaska.***

Job Summary

Utilizes knowledge of medical terminology, anatomy and physiology, coding software, coding conventions, local medical review policy, APC's, and hospital procedures to code outpatient medical records with ICD-10-CM and CPT4 coding classification systems to ensure accurate, complete and consistent coding for quality data.

What you will do:

• Review medical record documentation and codes diagnoses and procedures using ICD-10-CM and CPT4 coding conventions for the purpose of reimbursement, research, and compliance with federal and third-party payor regulations.
• Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges.
• Abstract information form medical records following established methods and procedures.
• Identifies problem documents and works with submitting departments to correct errors, including potential charging errors.
• Reviews and corrects claim and code edits as required.

What you bring:

Education

• Accredited Program Required: Coding or a combination of education and experience that provides the caregiver with the requisite knowledge, skills and abilities to perform the job or
• Preferred: Completion of a formal coding certificate/education program

Experience

• Minimum of 1 year Preferred: Directly related work experience abstracting and coding information using ICD-10-CM and CPT-4 coding systems

Credentials

• Required: within 1 Year Certified Professional Coder - Apprentice or
• Required: within 1 Year Registered Health Information Administrator or
• Required: within 1 Year Registered Health Information Technician or
• Required: within 1 Year Certified Coding Associate or
• Required: within 1 Year Certified Coding Specialist or
• Required: within 1 Year Certified Outpatient Coder or
• Required: within 1 Year Certified Professional Coder - Hospital or
• Required: within 1 Year Certified Inpatient Coder

Skills

• Proficient in MS Office (Required)
• Effective written and verbal communication skills (Required)
• Ability to understand and carry out instructions furnished in written, verbal or diagram form (Required)
• Demonstrated good judgment and decision-making skills (Required)
• Good organizational skills and attention to detail (Required)
• Knowledge of Medicare/Centers for Medicaid Services (CMS) requirements (Required)
• Understands outpatient CCI & OCE edits and modifier assignment in compliance with coding guidelines. (Required)
• Ability to work in an independent and/or remote environment. (Required)
• 3M or other CAC experience strongly (Preferred)
• Epic EMR experience (Preferred)

Working Conditions

Lifting

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.

Environmental Conditions

• Predominantly operates in an office environment.

Mental/Visual

• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how PeaceHealth is committed to

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