Coder III - OP (Cath Lab-CIRCC)

Baylor Scott & White Health; Raleigh (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider in North Carolina is seeking a Coder III to review and accurately code medical diagnoses and procedures. This fully remote role requires expertise in ICD-10-CM, ICD-10-PCS, CPT, and various certifications. Ideal candidates have at least 3 years of experience and a commitment to accurate coding practices. The salary ranges from $28.52 to $42.79, depending on experience.

Benefits

Immediate eligibility for health benefits

401(k) savings plan with match

Tuition Reimbursement

PTO accrual beginning Day 1

Qualifications

• 3 years of coding experience required.
• Certifications such as CCS, CCS-P, CIC, CIRCC, COC, CPC, RHIA, or RHIT are needed.

Responsibilities

• Review and code diagnosis and procedures accurately.
• Communicate with providers for missing documentation.
• Collaborate with revenue cycle departments for accurate billing.

Skills

ICD-10-CM

ICD-10-PCS

HCPCS

CPT

medical terminology

anatomy

Education

H.S. Diploma/GED Equivalent

Job description

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that enables you to live well.

Our Core Values are:

• We serve faithfully by doing what's right with a joyful heart.

• We never settle by constantly striving for better.

• We are in it together by supporting one another and those we serve.

• We make an impact by taking initiative and delivering exceptional experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• Immediate eligibility for health and welfare benefits

• 401 (k) savings plan with dollar-for-dollar match up to 5%

• Tuition Reimbursement

• PTO accrual beginning Day 1

Note: Benefits may vary based on position type and/or level

Job Summary

The Coder III is skilled in high acuity inpatient, hospital-based outpatient, or Profee. This includes high acuity profee service lines, Cardiac Cath/Electrophysiology (EP), or Interventional Radiology (IR) with a CIRCC certification, or expertise in at least 8 sub-specialties.

The Coder III uses ICD-10-CM, ICD-10-PCS, and HCPCS, including CPT, for accurate coding. Coding references ensure accurate coding and classification assignment grouping, like MS-DRG, APR-DRG, and APC.

The Coder III will abstract and enter required data.

Salary and Work Model

• The pay range for this position is $28.52 (entry-level qualifications) - $42.79 (highly experienced). The specific rate will depend upon the successful candidate’s specific qualifications and prior coding experience.

• 100% Remote

Essential Functions of the Role

• Reviews and interprets documentation from medical records and completes accurate coding of diagnosis, procedures, and professional fees.

• Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.

• Communicates with providers for missing documentation elements and offers guidance and education when needed.

• Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.

• Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.

• Reviews and edits charges.

Key Success Factors

• Sound knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.

• Sound knowledge of transaction code sets, HIPAA requirements, and other issues impacting the coding and abstracting function.

• Sound knowledge of anatomy, physiology, and medical terminology.

• Demonstrated expertise in the use of computer applications, group software, and Correct Coding Initiatives (CCI) edits.

• Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.

• Ability to interpret health record documentation to identify procedures and services for accurate code assignment.

• Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.

Belonging Statement

We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent

• EXPERIENCE - 3 Years of Experience

• Coder I experience needed for this Coder II opportunity

• CERTIFICATION/LICENSE/REGISTRATION -

• Cert Coding Specialist (CCS)

• Cert Coding Spec Physician Bas (CCS-P)

• Cert Inpatient Coder (CIC)

• Cert Interv Radiology CV Coder (CIRCC)

• Cert Outpatient Coder (COC)

• Cert Professional Coder (CPC)

• Reg Health Info Administrator (RHIA)

• Reg Health Information Technic (RHIT)

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.