Coding Specialist II-Profee Pediatric General Surgery Coder

Savista; Northern (KY); Hybrid; USD 30,000 - 48,000; Full time

Benefits offered by this job

Great Place to Work

Competitive hourly pay

Training and CE support

Job summary

Savista is seeking a Pro Fee Coder in Kentucky to review clinical documents and assign ICD-10 and CPT/HCPCS codes for hospital, clinic, and physician billing.

You will validate APC calculations, abstract data, and ensure compliance with HIPAA while collaborating with client staff and Savista teams. Requirements include active coding credentials and at least two years of hands-on experience.

Qualifications

• Active AHIMA or AAPC credential required.
• Two years of hands-on coding experience.
• Strong knowledge of ICD-10 and CPT/HCPCS.
• Excellent communication and data integrity skills.

Responsibilities

• Assign ICD-10 and CPT/HCPCS codes for designated patient types.
• Review facility records to ensure accurate coding.
• Abstract clinical data to support diagnoses and procedures.
• Maintain HIPAA confidentiality and compliance.
• Collaborate with client staff for data integrity.
• Stay current with coding guidelines and regulations.

Skills

AHIMA credential

Two years coding

ICD-10 CPT/HCPCS knowledge

Medical terminology

MS Office proficiency

Education

Associate degree in HIM

Tools

RCX Cerner

Optum

Microsoft Excel

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 DescriptionThe 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 HIPAA 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 customersPREFFERED 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)* Academic, split-share, and critical care experienceNote: 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.The Savista experience is the combination of everything that's unique about our culture, our core values, our commitment to success, but most importantly, it's our people. Our colleagues are problem-solvers, flexible and agile trusted partners who believe in a culture based on service. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us a Certified Great Place to Work 4 years in a row!It has come to our attention that there have been some bad actors using our company name to solicit personal information as part of a fraudulent hiring scam.Unfortunately, this is out of our control, but we want to make it clear that this behavior is unacceptable.All of our open roles are posted on our. Should you apply for a role and be contacted by an employee of Savista, all of our interviews will be scheduled by someone with an **@savistarcm.com** email address and conducted over video call or in-person. We never ask you to provide personal information through other means, such as Telegram or social media platforms, as part of our interview or onboarding process. Make sure to double check our website address; there is no period in our domain name other than \".com\".Savista does not and will not ask you to share any personally identifiable information (such as bank account details, SSN, etc) by any other means than a secure platform. We recommend you do not share any sensitive information over the phone or email. If you are offered a position, Savista does not and will not ask for payment to ship equipment.Fraudulent hiring scams often also ask for financial information and may ask for \"advances.\" Savista does not ask for any financial commitment at any stage of the recruitment process. We have reported and flagged these job scams when we've seen them. We also encourage you to contact your state attorney general's office to report any potential scams and also recommend you contact any recruiting website and/or social media platform that may have been involved as well to notify them.**Savista has no responsibility for fraudulent offers and advises job candidates to follow the guidance provided.**