Coding Specialist II-Profee Primary Care

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

Job summary

Savista, LLC is seeking a Pro Fee Coder to review clinical documentation and assign ICD-10 and CPT/HCPCS codes for hospital, clinic, and professional services. You will validate APC calculations and ensure coding accuracy while maintaining patient and provider confidentiality.

Responsibilities include selecting appropriate codes, abstracting data, and collaborating with client staff to maintain data integrity and compliance with HIPAA and coding guidelines.

Qualifications

• Active AHIMA or AAPC credential required (RHIA, RHIT, CCS, CCA, COC/CPC-H, CCS-P or CPC).
• Two years of recent hands-on coding experience.
• Knowledge of medical terminology, anatomy, physiology, pharmacology and ICD-10/CPT/HCPCS.
• Ability to code accurately at a 95% quality threshold and maintain productivity.
• Strong MS Office skills and data entry proficiency.

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.
• Maintain confidentiality in line with HIPAA guidelines.
• Collaborate with client staff to ensure data integrity and compliant coding practices.

Skills

Coding experience

HIPAA compliance

MS Office

Interpersonal skills

Education

Associates 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).

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 I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder I 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.

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).

The salary range for this role is from $22.08 - $34.69 an hour.

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!