Coder II- ObGyn

WellSpan Health; York (York County); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Retirement savings plan

Paid time off (PTO)

Education assistance

DailyPay

Job summary

WellSpan Health in York, PA seeks an experienced Medical Coder to assign ICD-10-CM diagnoses, CPT procedures, and HCPCS items for accurate billing and quality review. You will audit charts, review operative and clinical documents, and ensure coding compliance.

The role requires at least a high school diploma or GED and 1 year of relevant experience, with multiple coding certifications encouraged on hire. Training leadership will share feedback with physicians to optimize reimbursement.

Qualifications

• High School diploma or GED required.
• 1 year of relevant coding or billing experience required.
• Certification in medical coding upon hire or soon after start.

Responsibilities

• Performs chart audits and reviews for accuracy and compliance.
• Assigns ICD-10-CM diagnoses, CPT procedures, and HCPCS items for final billing.
• Researches and processes invoice corrections.
• Presents training and feedback on coding, compliance, and reimbursement to physicians/providers.
• Coordinates reimbursement improvement activities with staff and providers.

Skills

ICD-10-CM knowledge

CPT-4 knowledge

HCPCS knowledge

Basic computer skills

Education

High School Diploma or GED

Job description

• Locations 601 Memory Ln, York, PA, 17402, US
• Assignment Category Not Applicable
• FTE 1

Job Description

General Summary

Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical documentation and reports for quality assessment, audit, and billing purposes.

Responsibilities

Duties and Responsibilities
Essential Functions:

• Performs chart audits, reviewing for accuracy and compliance.
• Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) procedure codes (CPT), and other items (HCPCS) for final billing.
• Research and process invoice corrections.
• Reviews and analyzes coding/billing procedures.
• Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.
• Coordinates and implements reimbursement improvement activities with staff and providers.
• Adheres to WellSpan Coding Compliance Guidelines

Common Expectations:

• Maintains job specific standards and expectations relative to productivity and quality.
• Prepares and maintains appropriate documentation as required.
• Maintains professional growth and development.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Qualifications
Minimum Education:

• High School Diploma or GED Required

Work Experience:

• 1 year Relevant experience. Required

Licenses:

• Certified Professional Coder Upon Hire Required or
• Certified Coding Specialist - Physician Based Upon Hire Required or
• Certified Medical Coder Upon Hire Required or
• Certified Professional Coder Apprentice within 1 year Required or
• Certified Outpatient Coder Upon Hire Required or
• Registered Health Information Technician Upon Hire Required or
• Certified Home Care Coding Specialist - Diagnosis Upon Hire Required

Courses and Training:

• Certified Home Care Coding Specialist-Diagnosis (CHCS-D) – Only required for VNA Home Health Services. Upon Hire Required

Knowledge, Skills, and Abilities:

• Knowledge of ICD-10-CM, CPT-4, and HCPCS coding.
• Basic computer skills.

Benefits Offered:

• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay