Coding Specialist II - Orthopedics

savista; United States; On-site; USD 30,000 - 48,000; Full time

Job summary

Savista seeks a Pro Fee Coder to review clinical documentation and assign ICD-10 and CPT/HCPCS codes for hospital, clinic, and physician billing contexts. You will validate APC calculations and abstract data to support billing while ensuring HIPAA confidentiality.

The role requires two years of hands-on coding, active AHIMA/AAPC credentials, and strong MS Office skills. You may interact with client staff and providers, stay current with coding guidelines, and participate in ongoing training and

Qualifications

• Active AHIMA or AAPC credential required.
• Two years of recent coding experience.
• Knowledge of ICD-10 and CPT/HCPCS code sets; medical terminology.
• Proficient with MS Office; ability to enter data and manage spreadsheets.
• Ability to code at 95% quality while meeting client/savista standards.
• Maintain patient and provider confidentiality per HIPAA.

Responsibilities

• Select and sequence ICD-10 and CPT/HCPCS codes for designated patient types.
• Review facility records to ensure accurate APC assignments and E/M codes.
• Abstract clinical data to support diagnoses, procedures and discharge disposition.
• Interact with client staff for data integrity and guidance on coding practices.
• Maintain confidentiality in compliance with HIPAA guidelines.
• Participate in client and Savista staff meetings and trainings.
• Maintain up-to-date knowledge of coding guidelines and regulations.
• Engage in continuing education to maintain credentials.

Skills

ICD-10 knowledge

CPT/HCPCS knowledge

MS Office

Interpersonal skills

Attention to detail

Education

Associate degree in HIM/healthcare or equivalent

AHIMA/AAPC credential (RHIA/RHIT/CCS/CCA/COC/CCS-P/CPC)

Tools

RCX Cerner

Optum

Job description

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Job Description

The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder may interact with client staff and providers.

DUTIES AND RESPONSIBILITIES:

• Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
• Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record.
• Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
• Complete assigned work functions utilizing appropriate resources. May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
• Maintain strict patient and provider confidentiality in compliance with all HIPPA Guidelines.
• Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required.
• Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.
• Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.

SKILLS AND QUALIFICATIONS:

• Candidates must successfully pass pre-employment skills assessment. Required:
• An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential.
• Two years of recent and relevant hands-on coding experience
• Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets
• Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards
• Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files, (Outlook, Word, Excel)
• Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $22.08 - $34.69 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

PREFFERED SKILLS:

• Recent and relevant experience in an active production coding environment strongly preferred
• Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience
• Experience using RCX Cerner, Optum (a plus)

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

California Job Candidate Notice