Coder I, Orthopedic, Remote

UofL Health; United States; Remote; USD 42,000 - 54,000; Full time

Job summary

UofL Health is hiring a Coder I to abstract information from clinical documentation and assign CPT, ICD-10, HCPCS codes to ensure compliant reimbursement. The role involves reviewing denials, completing charges in work queues, and ensuring documentation aligns with EM Guidelines and CMS Teaching Physician Rules.

The position supports remote work from Kentucky with focus on accurate coding, compliance, and collaboration with providers and managers in a regional health system.

Qualifications

• High school diploma or GED/equivalent is required.
• One to four (1-4) years physician coding experience is preferred.
• CPC/CCS/CCS-P/CCA certifications are required.

Responsibilities

• Abstract information from clinical documentation and assign CPT, ICD-10, HCPCS codes and modifiers.
• Review and resolve coding denials.
• Complete coding sessions in assigned work queues.
• Ensure documentation meets EM Guidelines and CMS Teaching Physician Rules before billing.
• Maintain HIPAA privacy and security standards.

Education

High school diploma or GED/equivalent

Certified Professional Coder (CPC)

Certified Coding Specialist (CCS)

Certified Coding Specialist Physician Based (CCS-P)

Certified Coding Assistant (CCA)

Job description

Primary Location:

Work From Home - KY - ULP - CMG

Address:

Home OfficeRemote, KY 40601

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

Additional Job Description:

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)