Coder I, Remote

UofL Health; Louisville (KY); Remote; USD 60,000 - 80,000; Full time

Job summary

UofL Health seeks a Coder I to abstract and assign CPT, ICD-10 and HCPCS codes accurately, ensuring appropriate reimbursement under guidelines. This role handles less complex coding with oversight and aims for timely completion of sessions in the assigned queues.

The coder will follow EM guidelines, CMS Teaching Physician Rules, and payer-specific rules for Advanced Practice Providers, while maintaining privacy and security per HIPAA.

Qualifications

• Experience coding for physicians (1-4 years preferred).
• Accurately abstracts information and assigns CPT/ICD-10/HCPCS codes.
• Meets HIPAA privacy and security requirements.

Responsibilities

• Abstracts information from service documentation and codes correctly.
• Reviews and resolves coding denials promptly.
• Completes charges sessions in work queues timely.
• Ensures documentation meets CMS Teaching Physician Rules and EM guidelines.
• Maintains compliance with payer-specific rules for Advanced Practice Providers.

Skills

CPT ICD-10 HCPCS coding

HIPAA compliance

Denial reviews

Education

Certified Professional Coder (CPC)

CCS

CCS-P

CCA

Job description

Primary Location:Work From Home - KY - ULP - CMGAddress:Home OfficeRemote, KY 40601Shift: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 guidelinesReviews and resolves coding denialsCompletes charges sessions in the assigned work queues in a timely mannerCompletes documentation meeting the current EM Guidelines for providersEnsures documentation meets the Teaching Physician Rules as mandated by CMS and ULH Policies prior to release of a code for billingEnsures documentation for Advanced Practice Providers meets the payer-specific rules prior to release of a code for billingProvides comments/suggestion relative to weak areas identified in the coding reviewsProvides trending deficiencies to Senior Manager and Compliance Educator, as appropriateOther Functions:Meets or exceeds organizational coding production and quality standardsParticipates in special projects and completes other duties as assignedMaintains daily/weekly communication with office managers, department, and providers.Ability to work within a team environment and meet monthly goalsMaintain compliance with rules and regulations regarding codingResponds in a timely manner to questions from manager, providers, department, and representativesMaintains compliance with all company policies, procedures and standards of conductComplies with HIPAA privacy and security requirements to maintain confidentiality at all timesPerforms other duties as assignedAdditional 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)