Coding Specialist II-Profee Orthopedics

savista; United States; On-site; USD 46,000 - 72,000; Full time

Job summary

Savista is seeking a Medical Coder to help our healthcare clients navigate coding and revenue cycle challenges. You will assign ICD-10 and CPT/HCPCS codes for various patient types, review records for accuracy, and abstract data to support diagnoses and procedures while maintaining strict confidentiality.

The role requires AHIMA or AAPC credentials and at least two years of hands-on coding experience, with strong knowledge of medical terminology, anatomy, physiology, pharmacology, and coding

Qualifications

• Active AHIMA or AAPC credential required or in process
• Two years of recent and relevant hands-on coding experience
• Knowledge of medical terminology, anatomy & physiology, pharmacology and coding guidelines

Responsibilities

• Select and sequence ICD-10, CPT/HCPCS codes for various patient types.
• Review facility records to ensure APC assignments and E/M codes reflect documentation.
• Abstract clinical data to support diagnoses, procedures and disposition.
• Act as a resource for client staff on data integrity and compliant coding practices.
• Maintain patient/provider confidentiality per HIPAA guidelines.
• Participate in client and Savista meetings, trainings and conference calls.
• Stay current with ICD-10 and CPT/HCPCS guidelines and third-party requirements.
• Pursue continuing education to maintain credentials.

Skills

AHIMA RHIA

AHIMA RHIT

CCS

CCA

CPC-H (COC)

CCS-P

CPC

Medical terminology

Anatomy & physiology

Pharmacology

ICD-10

CPT/HCPCS

MS Office

Interpersonal & problem-solving

Data entry / Excel

Education

Associate degree in HIM or healthcare-related field

Tools

Rcx

Cerner

NextGen

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).

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

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, NextGen (a plus)

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.

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.

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