Coder II

Savista; Lexington (KY); On-site; USD 32,000 - 40,000; Full time

Job summary

Savista is hiring a Coder II in Lexington, KY to review clinical documentation and code ICD-10-CM diagnoses and surgical CPT procedures for hospital and professional claims. You will validate APC calculations, abstract clinical data, and ensure coding accuracy at a 95%+ quality target.

AHIMA or AAPC credential and at least 1 year of coding experience are required. The role collaborates with client staff and Savista teams, participates in trainings, and supports continuous improvement in revenue

Qualifications

• AHIMA or AAPC credential required
• At least 1 year of relevant coding experience in the last 6 months
• Passing score of 80% on pre-employment tests

Responsibilities

• Assigns ICD-10-CM codes for professional or technical claims at production rates and high quality
• Validates APC assignments where applicable
• Abstracts clinical data for coding and data needs
• Mitigates coding-related claim scrubber edits and questions
• Participates in client and Savista meetings and trainings
• Maintains current knowledge of coding conventions used at client sites

Skills

ICD-10-CM coding

CPT coding

EM level knowledge

Quality auditing

Education

AHIMA credential or AAPC credential

Job description

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Company Overview

Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency.

Job Purpose

The Coder II reviews clinical documentation to code diagnoses and surgical CPT procedures for hospital-based claims and data needs. For either professional or technical claims and data needs, the Coder II reviews clinical documentation to code diagnoses, EM level, and surgical CPT procedures. Additionally, this role also validates APC calculations, abstracts clinical data, mitigates diagnosis, EM level, and/or surgical CPT coding-related claims scrubber edits, and may interact with client staff and providers.

Essential Duties & Responsibilities

• Assigns ICD-10-CM codes, either professional or technical EM level, and surgical CPT codes at commercially reasonable production rates and at a consistent 95% or greater quality level.
• Validates APC assignments, as applicable.
• Abstracts clinical data appropriately.
• Mitigates diagnosis, EM level, and/or surgical CPT coding-related claims scrubber edits.
• Participates in client and Savista meetings and training sessions as instructed by management.
• Maintains an ongoing current working knowledge of the coding convention in play at client assignments.
• Performs other related duties as required.

Minimum Qualifications

• An active AHIMA (American Health Information Association) credential or an active AAPC (American Academy of Professional Coders) credential
• One year of relevant coding experience for the specific patient type being hired and within the last six months
• Passing score of 80% on specific pre-employment tests assigned

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $23.00 - $29.00 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.