Coder II

MUSC; Orleans Estates (SC); On-site; USD 39,000 - 55,000; Full time

Job summary

The Medical University of South Carolina is seeking a skilled coder/abstracter to assign accurate diagnoses, procedures and conditions using ICD-10 and CPT coding guidelines. This role supports inpatient, outpatient and emergency services within the Health Information Management Department.

Responsibilities include applying carrier-specific guidelines, data entry of professional charges, and keeping abreast of CMS updates to maintain regulatory compliance.

Qualifications

• Associate's degree in health information technology or related field or 5 years coding experience; coding certification (e.g., CPC, CCS) required.
• With Associate's degree, minimum of 2-3 years of experience in coding and familiarity with coding software.
• Strong analytical skills and ability to resolve coding issues.
• Effective communication and interpersonal skills.

Responsibilities

• 60% - Research and correct claims manager edits daily by applying coding and carrier specific guidelines. Upon review of documentation, perform extraction/validation of all CPTs, ICD-10CM, HCPCS and applicable modifiers. Ensure proper procedures are followed and meet requirements of federal, state and third-party payers as well as MUSCP compliance initiatives. Interact in a professional manner daily with departments, physicians and staff via email or phone. Educate these individuals regarding coding, edits, and denials; meet established departmental goals for quality and production.
• 20% - Efficiently perform data entry of professional charges daily; key all applicable data into billing system with high accuracy. Research and correct follow up items daily by applying coding guidelines while maintaining compliance initiatives. Monitor CMS and specialty websites and research industry publications for coding and regulatory updates to enhance knowledge base.
• 10% - Responsible for charge validation/reconciliation of inpatient, outpatient, and/or outreach services. Utilize charge reports to research missed billing opportunities and provide coding coverage to other areas as required.
• 10% - Facilitates professional growth and development through continuing education and training opportunities to enhance coding knowledge and maintain current credentials; other duties as assigned.

Skills

Strong analytical skills

Effective communication

Education

Associate's degree in health information technology or related field

5 years coding experience

Job description

Job Description Summary

The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. All work is carried out in accordance with the Health Information Management Department and MUSC approved policies and procedures.

Entity

University Medical Associates (UMA) Only Employees and Financials

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC002053 UMA CORP RC PPA CRC CC

Pay Rate Type

Hourly

Pay Grade

Health-25

Scheduled Weekly Hours

40

Job Description

The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. All work is carried out in accordance with the Health Information Management Department and MUSC approved policies and procedures.

Responsibilities:

• 60% - Research and correct claims manager edits daily by applying coding and carrier specific guidelines. Upon review of documentation, perform extraction/validation of all CPTs, ICD-10CM, HCPCS and applicable modifiers. Ensure proper procedures are followed and meet requirements of federal, state and third-party payers as well as MUSCP compliance initiatives. Interact in a professional manner on a daily basis with the departments, physicians and staff via email, or on the phone. Must be able to educate these individuals regarding coding, edits, and denials Must meet established departmental goals for quality and production.
• 20% - Efficiently perform data entry of professional charges on a daily basis as outlined in the departmental workgroup goals. Key all applicable data valued into billing system and with a high degree of accuracy. Research and correct follow up items daily by applying coding and carrier specific guidelines while maintaining compliance initiatives. Monitor CMS and specialty society websites and research industry publication for coding and regulatory updates to continuously enhance coding and regulatory knowledge base. Communicate pertinent information to departments and providers as needed.
• 10% - Responsible for charge validation/reconciliation of inpatient, outpatient, and/or outreach services. Utilize charge reports or other data as applicable to research potential missed billing opportunities. Provide coding coverage to other specialties, departments, divisions, and/or units as required.
• 10% - Facilitates professional growth and development through continuing education and training opportunities to enhance coding knowledge and maintain current coding credentials. Maintains proficiency in coding, abstraction and reimbursement; including ICD-10, CPTs, and LCDs/NCDs, federal and state regulation. Other duties as assigned.

Qualifications:

• Associate's degree in health information technology or related field or 5 years coding experience; coding certification (e.g., CPC, CCS) required.
• With Associate's degree, minimum of 2-3 years of experience in coding and familiarity with coding software.
• Strong analytical skills and ability to resolve coding issues.
• Effective communication and interpersonal skills.

Certifications, Licenses, Registrations:

• RHIT, CCS, CCA, CPC, CPC-A, or other coding credential required

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees