Coder III- Cardiology

WellSpan Health; Chambersburg (Franklin County); On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Comprehensive health benefits

Retirement savings plan

Paid time off (PTO)

Education assistance

DailyPay

Expanded Paid Parental Leave

Job summary

WellSpan Health is seeking a Medical Coding Specialist to collect, review, retrieve and code Evaluation & Management codes and major procedures for quality assessment and billing. The role supports Medicine/Surgical practices by ensuring accurate coding from medical records and reports.

Requirements include a high school diploma and at least 3 years of relevant experience, with a strong knowledge of ICD-10-CM, CPT-4, and HCPCS coding. Comprehensive benefits are offered.

Qualifications

• 3 years relevant experience required.
• High School Diploma or GED required.

Responsibilities

• Performs chart audits, reviewing for accuracy and compliance.
• Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10), procedure codes (CPT-4), and other services (HCPCS) for final billing.
• Researches and processes invoice corrections.
• Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.
• Coordinates and implements reimbursement improvement activities with staff and providers.

Job description

JOB DESCRIPTION

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 records and reports for quality assessment, audit and billing purposes.

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 records 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-4), and other services (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.
• Meets 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

Minimum Education

• High School Diploma or GED Required

Work Experience

• 3 years Relevant experience. Required

Licenses

• Certified Professional Coder Upon Hire Required or
• Certified Coding Specialist - Physician BasedUpon Hire Required or
• Certified Medical Coder Upon Hire Required or
• Certified Outpatient Coder Upon Hire Required or
• Registered Health Information Technician Upon Hire Required and
• Certified Anesthesia and Pain Management Coder Upon Hire Required or
• Certified Cardiology Coder Upon Hire Required or
• Certified ENT Coder Upon Hire Required or
• Certified Hematology and Oncology Coder Upon Hire Required or
• Certified Interventional Radiology Cardiovascular Coder Upon Hire Required or
• Certified Pediatric Coder Upon Hire Required or
• Certified Rheumatology Coder Upon Hire Required or
• Certified Urology Coder Upon Hire Required or
• Radiology Certified Coder Upon Hire Required or
• Certified Cardiovascular and Thoracic Surgery Coder Upon Hire Required or
• Certified Gastroenterology Coder Upon Hire Required or
• Certified General Surgery Coder Upon Hire Required or
• Certified Professional Coder Dermatology Upon Hire Required or
• Certified Obstetrics Gynecology Coder Upon Hire Required or
• Certified Ophthalmology Coder Upon Hire Required or
• Certified Orthopedic Surgery Coder Upon Hire Required

Knowledge, Skills, And Abilities

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

Benefits Offered

• Comprehensive health benefits
• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay
• Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)