Coder III, Professional Billing

Hackensack Meridian Health; Edison (NJ); Remote; USD 40,000 - 57,000; Full time

Benefits offered by this job

Health benefits

Retirement benefits

Tuition reimbursement

Paid leave

Job summary

Hackensack Meridian Health is hiring a Physician Coder III for a remote role that supports coding across the HM H network. The role involves abstracting data per ICD-10-CM, CPT, and HCPCS guidelines, entering information into the EMR, and querying physicians as needed.

The ideal candidate will have 3+ years of coding experience, a strong Profee and E/M background, and proficiency with office/outpatient coding, physiology terms, and common software like Microsoft Office and Google Suite.

Qualifications

• Minimum of 3+ years of coding experience, Trauma Level 1 and Academic Teaching facility.
• Focused background in Physician and Profee coding with knowledge of E/M guidelines.
• Proficient in coding in office/outpatient procedures in an office and outpatient hospital setting.
• Strong understanding of physiology, medical terms and anatomy.

Responsibilities

• Assign CPT, HCPCS and ICD-10-CM codes.
• Analyze medical records and identify documentation deficiencies.
• Query physicians when appropriate via the physician query process.
• Maintain productivity and quality requirements.
• Adhere to organizational competencies and standards of behavior.

Skills

3+ years coding experience

Profee Coding

E/M guidelines

Physiology knowledge

Typing speed/accuracy

Communication skills

Education

High School diploma or GED

Tools

EMR systems

Microsoft Office

Google Suite

Job description

Description

Our team members are the heart of what makes us better.

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Physician Coder III is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate.

This is a remote position.

Responsibilities

• Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions.
• Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
• Analyzes medical records and identifies documentation deficiencies.
• Reviews and verifies documentation supports existing diagnoses, procedures and other charges.
• Identifies reportable elements, complications, and other quality measures.
• Communicates with physicians to clarify information via the physician query process
• Assign CPT, HCPCS and ICD-10-CM codes.
• Proficient in Profee Coding and E/M guidelines (95/97, 2021 update)
• Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.
• Maintains required productivity and quality requirements.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Minimum of 3+ years of coding experience, Trauma Level 1 and Academic Teaching facility.
• Focused background in Physician and Profee coding with knowledge of E/M guidelines.
• Proficient in coding in office/outpatient procedures in an office and outpatient hospital setting.
• Strong understanding of physiology, medical terms and anatomy.
• Proficiency in computer skills including typing speed and accuracy.
• Excellent written and verbal communication skills.
• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Education, Knowledge, Skills And Abilities Preferred

• Multiple years of coding experience, Trauma Level 1 and Academic Teaching facility.
• Background in multi-specialty Physician services.

Licenses And Certifications Required

• Registered Health Information Technician or Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder.
• An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.

Licenses And Certifications Preferred

• An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

Job Duties

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full‑time and part‑time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits. Minimum rate of $35.17 Hourly