Coder II - FT - Days - Oncology Radiology

DaMar Staffing; Edinburg (TX); On-site; USD 52,000 - 76,000; Full time

Job summary

DHR Health in Edinburg, TX is seeking a mid-level Coder II to perform outpatient coding across Oncology Radiology departments.

Responsibilities include Coding ICD-10-CM with high specificity, assigning CPT/HCPCS codes and modifiers, and resolving billing edits while maintaining quality standards. Knowledge of 3M encoder and Cerner/ARIA is preferred.

Qualifications

• Coding credential from an accredited organization required.
• AHIMA or AAPC credentials preferred.
• Extensive knowledge of medical terminology.
• Knowledge of CPT rules and CPT/NCCI guidance.
• 3M encoder experience and familiarity with Cerner/ARIA.

Responsibilities

• Code ICD-10-CM to the highest specificity.
• Assign CPT/HCPCS codes and modifiers.
• Resolve CPT/HCPCS as needed and reconcile edits.
• Query physicians when documentation is unclear.
• Maintain productivity and quality standards.
• Assist with inpatient transition if needed.

Skills

Medical terminology

ICD-10-CM coding

CPT coding

HCPCS modifiers

HIPAA knowledge

Research ability

Education

Coding credential

AHIMA/AAPC credentials preferred

Tools

3M encoder

Cerner ARIA

Job description

Coder II - FT - Days - Oncology Radiology

DHR Health - US:TX:Edinburg - Days

Summary:

FLSA STATUS: Exempt Non-Exempt

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

This is a mid-level, work from work position. Coder is responsible for:

• Analyzing provider documentation in Cerner and ARIA
• Assign and sequence ICD-10-CM, CPT®/HCPCS appropriately
• Append billing modifiers when appropriate
• Reconcile CPT(s)
• Resolves billing edits according to 3M Code editor
• Participates in educational activities and attend staff meetings.

POSITION EDUCATION/ QUALIFICATIONS:

Coding credential from an accredited coding organization required

Credentials from AHIMA, AAPC preferred

Extensive knowledge of medical terminology

Knowledge of Coding Guidelines

Knowledge of CPT rules and regulations

Knowledge of NCCI policies

Highly reliable

Must be a team player with good people skills and possess strong initiative to get daily work finished and processed

Maintain productivity levels

JOB KNOWLEDGE/EXPERIENCE:

Extensive experience in medical coding, medical terminology, and anatomy and physiology required; 3 year of coding experience preferred

Requires reasoning ability and good independent judgment

Ability to perform productive research quickly

Requires working with minimal interruptions

Must have an understanding of laws and ethics related to health insurance, medical billing and Health insurance Portability and Accountability Act (HIPPA)

Computer and coding software experience required, 3M encoder preferred

Advanced computer skills required with knowledge of Microsoft Office suite

Experience in Professional coding and billing a plus

Responsibilities:

POSITION RESPONSIBILITIES:

Promote the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices

Coding ICD-10-CM to the highest level of specificity

Accurately Code outpatient procedures according to CPT guidelines

Must be able to validate CPT based on medical record documentation

Ability to code outpatient record types such as: Radiation/Chemo Oncology, Infusions, etc.

Query physicians for clarification when ambiguous, vague, or incomplete information is identified

Ability to accurately attach HCPCS Level I and Level II modifiers for billing purposes

Utilize computerized 3M Coding Software

Utilize and research 3M Coding references for final coding

Must be able to identify medical abbreviations, terms and their meanings

Code all available records in a timely manner

Must be able to multitask

Meet quality standards of having "65 95% of charts coded accurately

Meet productivity standards set forth by the coding manager

Communicate with Coding Manager to solve problems and to clarify coding issues

Assign mnemonics to unbilled accounts as appropriate

Maintain a good working relationship within the department, other departments, and medical staff

Assist the business office with clearing reimbursement and denial issues

Clear AEOS in a timely manner

Communicate via email and/or phone with other departments to obtain pertinent information in order to code the account

Willing to transition into Inpatient coding

Coding of introductory level Inpatient accounts may be required

Communicate with RMF clinic management to ensure timely professional billing

Ability to identify and accurately assign discharge/disposition status

Must take initiative to further coding knowledge

Attend workshops, seminars or conferences that pertain to position and that fulfill CE hour requirements

Reference ICD-10-CM, CPT, and HCPCS Level II code books as needed

Review Coding Clinic updates and continuing education periodicals in a timely manner

Adhere to the Health Information Management Policies and Procedures for Coding

Adhere to the Coding Compliance Plan

Follow the AHIMA Standards of Ethical Coding

Maintain confidentiality and safeguards all patient related information.

Other duties as assigned

LINES OF REPSONSIBILITIES:

Practice Manager

2.

RN Director

3.

VP of Oncology

Other information:

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA):

A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

Light/moderate lifting up to 20 lbs, from the floor to shoulder height. - Yes - Kneeling - Yes

Must be able to assist other employees with lifting more than 20 lbs. - Yes - Walking - Yes

Light/moderate carrying up to 20 lbs. - Yes - Standing/Squatting - Yes

Straight pulling - Yes - Sitting - Yes

Pulling hand over hand - Yes - Pushing - Yes

Repeated bending - Yes - Stooping/Bending - Yes

Reaching above shoulder - Yes - Climbing Stairs - Yes

Simple grasping - Yes - Climbing Ladders - No

Dual simultaneous grasping - Yes - Depth Perceptions needed - Yes

Ability to see - Yes - Identify Colors - Yes

Operating office equipment - Yes - Twisting - Yes

Operating mechanical equipment - Yes - Crawling - No

Ability to read and write - Yes - Ability to Count - Yes

Ability to hear verbal communication without aid - Yes - Operating Personal Vehicle - Yes

Ability to comprehend written/verbal communication - Yes - Other: Ability to deal with stress - Yes

OSHA Category - III

B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potential exposed in some other way.

D. Aptitudes: HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to "catch