Coding Specialist III

name; United States; On-site; USD 30,000 - 47,000; Full time

Job summary

Sav ista is hiring a Coder III to review clinical documentation and code diagnoses and procedures for inpatient hospital-based claims and data needs. The role covers professional and technical claims coding, MS-DRG/APC validation, and data abstraction at a productive, quality-focused pace.

You will interact with client staff and Savista teams to ensure accurate coding and payor compliance. The position requires AHIMA or AAPC credential, at least one year of recent coding experience, and a strong

Qualifications

• AHIMA or AAPC credential (active).
• At least one year of relevant coding experience within the last six months.
• Passing score of 80% on pre-employment tests.

Responsibilities

• Assign ICD-10-CM and PCS codes for inpatient visits and/or ICD-10-CM codes for physician visits at productive rates.
• Validate MS-DRG or APC assignments as applicable.
• Abstract clinical data and mitigate coding-related edits.
• Interact with client staff and Savista teams as needed.
• Maintain up-to-date knowledge of coding conventions at client sites.
• Perform related duties as required.

Skills

Coding knowledge

Quality focus

Education

AHIMA credential

AAPC credential

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 Coder III reviews clinical documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs. For both professional and technical claims and data needs, the Coder III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also validates MS-DRG and APC calculations, abstracts clinical data, mitigates diagnosis, EM level, surgical CPT, and/or PCS coding-related claims scrubber edits, and may interact with client staff and providers.

Duties & Responsibilities

• Assigns either ICD-10-CM and PCS codes for inpatient visits or assigns ICD-10 CM codes, professional and technical EM levels, and surgical CPT codes for physician visits at commercially reasonable production rates and at a consistent 95% or greater quality level.
• Validates either MS-DRG or APC assignments, as applicable.
• Abstracts clinical data appropriately.
• Mitigates either hospital inpatient coding-related claims scrubber edits or professional and technical coding-related claims scrubber edits.
• Participates in client and Savista meetings and training sessions as instructed by management.
• Maintains an ongoing current working knowledge of the coding convention in play at client assignments.
• Performs other related duties as required.

Skills And Qualifications

• An active AHIMA (American Health Information Association) credential or an active AAPC (American Academy of Professional Coders) credential
• One year of relevant coding experience for the specific patient type being hired and within the last six months
• Passing score of 80% on specific pre-employment tests assigned

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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