Coder III - Outpatient Specialties

WellSpan Health; Chambersburg (Franklin County); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated coding specialist to join their team. In this full-time role, you will be responsible for coding various medical procedures and ensuring compliance with industry standards. Your expertise in ICD-10, CPT-4, and HCPCS coding will be crucial as you perform chart audits, assign appropriate codes, and provide training to healthcare providers. This position offers the opportunity to work from home while contributing to quality assessment and billing processes. If you are passionate about coding and compliance, this is the perfect opportunity to make a significant impact in the healthcare field.

Qualifications

• 3 years of relevant experience required for the role.
• Knowledge of ICD-10, CPT-4, and HCPCS coding is essential.

Responsibilities

• Conducts chart audits for accuracy and compliance.
• Assigns diagnosis and procedure codes for billing purposes.
• Implements reimbursement improvement activities.

Skills

ICD-10 coding

CPT coding

HCPCS coding

Chart auditing

Invoice processing

Training and feedback

Compliance knowledge

Education

High School Diploma or GED

Tools

Basic computer skills

Job description

Schedule

Full-time: 40hrs/wk

Hours: Monday - Friday, days

Work from home - This position will be responsible for Coding of Infectious Disease, Pulmonary, and Wound

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.

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.

Required for All Jobs:

• Performs other related duties as identified.
• WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.
• WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

Physical Demands:

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Frequently
• Reaching - Rarely
• Talking - Frequently
• Hearing - Frequently
• Repetitive Motions - Occasionally
• Eye/Hand/Foot Coordination - Occasionally

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 Based Upon 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.