Coder II-wound care/hyperbaric

Advocate Health; Allenton (WI); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a dedicated Coder II specializing in wound care and hyperbaric medicine. This role involves reviewing medical documentation to ensure accurate coding, adhering to compliance regulations, and maintaining patient confidentiality. The ideal candidate will have advanced knowledge of coding guidelines and a passion for continuous learning in the ever-evolving healthcare landscape. Join a dynamic team where your expertise will contribute to improving patient care and operational efficiency. This is an exciting opportunity for those looking to make a significant impact in the healthcare sector.

Qualifications

• 3+ years of experience in professional coding in hospital or revenue cycle.
• Advanced knowledge of coding guidelines and medical terminology.

Responsibilities

• Review medical documentation to assign diagnosis and procedure codes.
• Conduct independent research on coding guidelines and regulations.

Skills

ICD-10 CM/PCS

CPT

HCPCS

Medical Terminology

Analytical Skills

Communication Skills

Microsoft Office

Attention to Detail

Education

Advanced Training in Medical Coding

Tools

Electronic Coding Systems

Job description

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• Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software.
• Adheres to the organization and departmental guidelines, policies and protocols.
• Reviews all clinician 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.
• Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.
• Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.
• Meets then exceeds departmental quality and productivity standards.
• Recommend modifications to current policies and procedures as needed to coincide with government regulations.
• Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable
  
  

Major Responsibilities

• Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software.
• Adheres to the organization and departmental guidelines, policies and protocols.
• Reviews all clinician 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.
• Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.
• Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.
• Meets then exceeds departmental quality and productivity standards.
• Recommend modifications to current policies and procedures as needed to coincide with government regulations.
• Responsible for processing Coding Claim Denials 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)
  
  

Education Required

• Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge)
  
  

Experience Required

• Typically requires 3 years of experience in professional coding that includes experiences in either hospital or professional 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 officeproducts, electronic mail, including exposure or experience with electronic coding systems or applications.
• Advanced communication (oral and written) and interpersonal skills.
• Advanced organization, prioritization, and reading comprehension skills.
• Advanced analytical skills, with a high attention to detail.
• 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 tocontinuously 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

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Engineering and Information Technology

• Industries

  Hospitals and Health Care

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