Coder II - Specialty Cardiology

Advocate Health; Allenton (WI); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare provider is seeking a Coder II for Specialty Cardiology. The role involves assigning codes for diagnoses and procedures, ensuring compliance with coding guidelines, and maintaining patient confidentiality. The ideal candidate will have relevant certifications and experience in medical coding, with strong attention to detail and communication skills.

Qualifications

• Professional Coder (CPC), Coding Associate (CCA), or similar certification required.
• 2 years of experience in professional coding preferred.
• Advanced knowledge of coding guidelines and medical terminology.

Responsibilities

• Assign and sequence diagnoses and procedure codes.
• Review provider documentation to support assigned codes.
• Participate in payer audits and process coding claim appeals.

Skills

ICD coding

CPT coding

HCPCS coding

Medical terminology

Attention to detail

Communication

Education

Accredited Medical Coding Specialist program

Tools

Electronic coding systems

Microsoft Office

Job description

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• Assigns codes using International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS).
• Sequences diagnoses and procedure codes as outlined in CPT, ICD and HCPC Coding Guidelines while adhering to local and national governmental payer guidelines.
• Adheres to the organization and departmental guidelines, policies and protocols. Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.
• Reviews all provider documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes.
• Follows up and obtains clarification of inaccurate documentation as appropriate.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and the American Academy of Professional Coders. Adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes.
• Meets and exceeds departmental quality and production standards.
• Serves as a subject matter expert to Coding department leaders and peers. Recommends modifications to current policies and procedures as needed to coincide with government regulations.
• Participates in payer audits by acting as a resource for coding-related audits, as requested.
• Responsible for processing coding claim appeals and coding claim rejections, when applicable.
  
  

Major Responsibilities

• Assigns codes using International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS).
• Sequences diagnoses and procedure codes as outlined in CPT, ICD and HCPC Coding Guidelines while adhering to local and national governmental payer guidelines.
• Adheres to the organization and departmental guidelines, policies and protocols. Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.
• Reviews all provider documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes.
• Follows up and obtains clarification of inaccurate documentation as appropriate.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and the American Academy of Professional Coders. Adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes.
• Meets and exceeds departmental quality and production standards.
• Serves as a subject matter expert to Coding department leaders and peers. Recommends modifications to current policies and procedures as needed to coincide with government regulations.
• Participates in payer audits by acting as a resource for coding-related audits, as requested.
• Responsible for processing coding claim appeals and coding claim rejections, when applicable.
  
  

Licensure, Registration, And/or Certification Required

• Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC), or
• Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA), or
• Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or
• Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
• Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or
• Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC).
  
  

Education Required

• Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist.
  
  

Experience Required

• Typically requires 2 years of experience in professional coding that includes experiences in physician revenue cycle processes and health information workflows.
  
  

Knowledge, Skills & Abilities Required

• Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.
• Intermediate computer skills including the use of Microsoft Office and e-mail as well as exposure or experience with electronic coding systems or applications.
• Excellent oral and written communication and interpersonal skills.
• Excellent organization, prioritization and reading comprehension skills.
• Excellent analytical skills, with a high attention to detail.
• Demonstrates ability to function as a mentor, role model and teacher.
• Ability to work independently and exercise independent judgment and decision making.
• Ability to meet deadlines while working in a fast-paced environment.
• Ability to take initiative and work collaboratively with others.
  
  

Physical Requirements And Working Conditions

• Exposed to a normal office environment.
• Must be able to sit for extended periods of time.
• Must be able to continuously concentrate.
• Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
• Operates all equipment necessary to perform the job.
  
  

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

#REMOTE

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Engineering and Information Technology

• Industries

  Hospitals and Health Care

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