Coder I Professional - Hospitalist/Office Visit E&M

Franciscan Alliance, Inc.; Butlerville (IN); Remote; USD 25,000 - 37,000; Full time

Job summary

Franciscan Alliance, Inc. is seeking a Coder I Specialist - Hospitalist/Office Visits to review electronic medical records, apply ICD and CPT codes, and ensure accurate documentation for billing purposes.

The role focuses on professional hospitalist and office visits, with remote work from Indiana. You will stay current with coding guidelines and payer requirements to support accurate claims and data analysis.

Qualifications

• High School Diploma/GED - Required
• Associate's Degree, Health Information Management - Preferred
• Bachelor's Degree, Health Information Management - Preferred
• 2 years Coding - Preferred
• CPC (Certified Professional Coder) - American Academy of Professional Coders (AAPC) - Required or
• CPC-A (Certified Professional Coder Associate) - AAPC - Required or
• CCS-P (Certified Coding Specialist - Physician) - AHIMA - Required or
• CCA (Certified Coding Associate) - AHIMA - Required or
• RHIA (Registered Health Information Administrator) - AHIMA - within 180 days - Preferred
• RHIT (Registered Health Information Technician) - AHIMA - within 180 days - Preferred

Responsibilities

• Accurately reviews and codes patient records in hospitalist rounds and office visits.
• Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT repetitive or non-invasive procedure codes, modifiers, and other coding elements.
• Evaluates appropriateness of diagnosis and procedure codes and modifiers used in response to edits.
• Reviews clinical documentation to validate accurate representation of the patient's clinical picture, treatment, and diagnoses.
• Identifies missing, non-specific, or inconsistent documentation and takes steps to obtain it.
• Identifies and enters data elements for abstracting.
• Meets defined coding accuracy standards.
• Meets defined coding productivity standards.
• Applies broad guidelines to coding situations with discretion and analytic ability.
• Understands how codes and reimbursement methodologies influence reimbursement, outcomes, and planning.
• Remains current with coding changes through ongoing education.
• Demonstrates knowledge of coding guidelines, medical terminology, anatomy/physiology, and payer guidelines.
• Notifies coding leadership of trends for education and process improvements.

Job description

Work From HomeWork From Home Work From Home, Indiana 46544

The Coder I Specialist Professional - Hospitalist/Office Visits reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on professional hospitalist and office visits. This position abstracts key data elements necessary for billing and data analysis.

WHO WE ARE

With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.

WHAT YOU CAN EXPECT

• Accurately reviews and codes patient records in the following clinical areas: hospitalist rounds and office visits (with repetitive or non-invasive procedures).
• Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT repetitive or non-invasive procedure codes, modifiers, hierarchical condition categories, complications, and comorbidities to meet coding guidelines.
• Evaluates appropriateness of diagnosis and procedure codes and modifiers utilized in response to Outpatient Code Editor and National Correct Coding Initiative edits.
• Reviews clinical documentation to validate accurate representation of the patient's clinical picture, treatment, and diagnoses.
• Identifies when documentation relevant to the coding process is missing, lacks specificity or is inconsistent and take steps to obtain the documentation.
• Identifies and enters data elements for abstracting.
• Meets defined coding accuracy standards.
• Meets defined coding productivity standards.
• Applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability.
• Understands how diagnosis and procedure codes, and reimbursement methodologies are used to determine reimbursement, public reporting of outcomes, quality of patient care, financial modeling, strategic planning, and marketing.
• Remains current with coding and industry changes through participation in educational opportunities.
• Demonstrates a thorough knowledge of professional coding guidelines, medical terminology, anatomy/physiology, and payer specific coding guidelines.
• Notifies coding leadership of trends and topics for education and feedback to physicians and departments
• Assists with identification and implementation of process improvements, according to industry best practice standards to make the best use of resources, decrease costs and improve coding services across the specialized service lines.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders and adheres to official coding guidelines.

QUALIFICATIONS

• High School Diploma/GED - Required
• Associate's Degree, Health Information Management - Preferred
• Bachelor's Degree, Health Information Management - Preferred
• 2 years Coding - Preferred
• CPC ( Certified Professional Coder) - American Academy of Professional Coders (AAPC) - Required or
• CPC-A (Certified Professional Coder Associate) - American Academy of Professional Coders (AAPC) - Required or
• CC S ( Certified Coding Specialist) - American Health Information Management Association (AHIMA) - Required or
• CCS-P ( Certified Coding Specialist - Physician) - American Health Information Management Association (AHIMA) - Required or
• CCA ( Certified Coding Associate)- American Health Information Management Association (AHIMA) - Required or
• RHIA ( Registered Health Information Administrator) - American Health Information Management Association (AHIMA) within 180 days - Preferredor
• RHIT ( Registered Health Information Technician) - American Health Information Management Association (AHIMA) within 180 days - Preferred

TRAVEL IS REQUIRED:

Never or RarelyJOB RANGE:Coder I Specialist - Hospitalist/Office Visit E&M $18.02-$26.81INCENTIVE:

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org .