Coder - Pathology

University of Colorado Medicine; Aurora (CO); A distancia; USD 45.000 - 70.000; Jornada completa

Descripción de la vacante

University of Colorado Medicine (CU Medicine) is seeking a motivated Coder I for our Pathology coding team. This role can be performed 100% remotely, with out-of-state candidates considered.

Under supervision, you will code professional services per CMS guidelines, validate ICD-10-CM and CPT-4 data, and prepare charge capture documents for claims submission. Essential duties include reviewing documentation, prioritizing codes, processing charges quickly, and maintaining high accuracy while

Formación

• High School Diploma or equivalent required.
• Certification (AAPC/AHIMA) within one year of hire; CPC-A acceptable.
• Prior clinical background and/or medical coding education required for entry level.
• Basic knowledge of coding principles, anatomy and physiology, and medical terminology.
• Knowledge of claim system edits and modifier assignment.

Responsabilidades

• Review provider documentation to validate ICD-10-CM and CPT-4 codes with modifiers when needed.
• Review medical documentation to verify procedures and charges.
• Prioritize and assign ICD-10-CM, CPT-4 and HCPCS codes.
• Process charges within 24-48 hours of clinic completion.
• Ensure CMS/state regulations are followed in charge capture and submission.
• Maintain 95%+ accuracy and meet production standards.

Conocimientos

ICD-10-CM

CPT-4

HCPCS

CMS guidelines

Anatomy & physiology

Medical terminology

Educación

High School Diploma

AAPC/AHIMA CPC-A (or higher) certification within 1 year

Medical coding education

Herramientas

GE Billing System

Descripción del empleo

University of Colorado Medicine (CU Medicine) is the region's largest and most comprehensive multispecialty physician group practice. At our primary and specialty care clinics across the Denver metro area and Front Range, CU Anschutz School of Medicine physicians and advanced practice providers bring the latest medical knowledge and new advancements to the care they provide every day. CU Medicine also provides business operations, revenue cycle and administrative services to support the patients of CU Anschutz School of Medicine providers.

We are seeking a highly motivated Coder I to support our Pathology team in our Coding Services department.

This job can be performed 100% remotely, and out of state candidates will be considered.

The Coder I will work under direct supervision for coding, medical documentation review and charge capture of professional services in accordance with CMS guidelines. Job function will include verifying and validating data for accurate ICD-10-CM and CPT-4 coding for statistical reporting and reimbursement purposes, as well as preparation of charge capture documents for claims submission. The individual in this position will also perform various assignments under the direction of the Coding Services Manager/Supervisor.

Essential Duties

• Review provider documentation to validate complete and accurate procedural and diagnoses coding. This includes use of clinic schedules to verify date of service, name and CU Medicine billing number of provider and verification of referring provider information. Review and prioritize ICD-10-CM codes and CPT-4 procedure codes with applicable modifiers when necessary, as well as HCPCS codes, if applicable.
• Review medical documentation to verify procedures
• Prioritize and assign necessary ICD-10-CM, CPT-4 and/or HCPCS
• Process charges within 24-48 hours of clinic completion
• Process charges in accordance with CMS, state and local regulations
• Maintain greater than or equal to 95% accuracy rate for all charges processed, while meeting applicable Coding Services production standards
• Reconciliation of all charges processed in GE billing system

Requirements

• High School Diploma or equivalent required
• AAPC and/or AHIMA certification is required within one year of hire date, if not already certified. CPC-A certification is acceptable.
• Prior clinical background and/or medical coding education required for entry level coding.
• Individual must have basic knowledge of coding principles, anatomy and physiology and medical terminology.
• Knowledge in claim system edits and modifier assignment.

CU Medicine is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing non-discrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities.

CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment.

The listed pay range (or hiring rate) represents CU Medicine’s good faith and reasonable estimate of the range of possible compensation at the time of posting and is based on evaluation of competitive market data.

A variety of factors, including but not limited to, internal equity, experience, and education will be considered when determining the final offer.

CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation beyond the number on your paycheck. Find information about our benefits here.

CU Medicine will post all jobs for aminimumof 7 days or until 250+ applicants have been received (whichever comes first).

CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations.