Coder I - Home & Community Care Admin (Remote)

PeaceHealth; Vancouver (WA); On-site; USD 32,000 - 48,000; Full time

Benefits offered by this job

Medical/dental/vision coverage

403b retirement plan with matching

Paid time off

Life and disability insurance

Education reimbursement

Wellness program

Job summary

PeaceHealth in Vancouver, WA is seeking a Coder I - Home & Community Care Admin for a full-time, day position. This role codes outpatient medical records using ICD-10-CM and CPT-4 to ensure accurate, complete coding for quality data and reimbursement.

Responsibilities include reviewing records for appropriate diagnoses and procedures, abstracting information, correcting errors, and ensuring compliance with CMS and third-party payor requirements.

Qualifications

• Accredited coding program or combination of education/experience to perform coding.
• Completion of a formal coding certificate/education program preferred.

Responsibilities

• Review documentation and codes diagnoses/procedures using ICD-10-CM and CPT-4 conventions for reimbursement, research, and compliance.
• Review records to assure specificity of diagnoses, procedures and reimbursement.
• Abstract information from medical records following established methods.
• Identify problem documents and coordinate corrections with submitting departments.
• Review and correct claim and code edits as required.

Skills

MS Office

Written and verbal communication

Instructions comprehension

Judgment and decision making

Organizational skills

CMS knowledge

CCI/OCE edits

Remote work

CAC experience

Epic EMR experience

Education

Accredited Coding program

Formal coding certificate program

Tools

ICD-10-CM

CPT-4

Job description

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

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.

Benefits

• 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

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.

EEO Affidavit Employer/Vets/Disabled in accordance with applicable local, state or federal laws.