Coder III- Cardiology

WellSpan Health; York (York County); On-site; USD 55,000 - 75,000; 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 seeks an experienced medical coder to collect, review, retrieve, and code Evaluation & Management codes and major procedures for Medicine/Surgical practices, using medical records for quality assessment and billing purposes. This role emphasizes accuracy, compliance, and ongoing education of providers.

The position requires at least 3 years of relevant experience and a strong coding background across ICD-10-CM, CPT-4, and HCPCS, with eligibility or ongoing certification(s)

Qualifications

• High School Diploma or GED is required.
• 3 years relevant experience required.
• Certifications listed or Upon Hire Required or related coder certifications may be considered.

Responsibilities

• Performs chart audits for accuracy and compliance.
• Reviews operative reports and assigns ICD-10-CM diagnoses, CPT-4 procedures, and HCPCS services for billing.
• Researches and processes invoice corrections.
• Reviews and analyzes coding/billing procedures.
• Provides training and feedback on medical coding, compliance, and reimbursement to physicians/providers.
• Coordinates reimbursement improvement activities with staff and providers.
• Meets WellSpan Coding Compliance Guidelines.

Skills

ICD-10-CM CPT-4 HCPCS coding

Basic computer skills

Education

High School Diploma or GED

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

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.

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

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)