Fully Remote, Outpatient Professional Fee Coder: Family Practice, Assisted Living, Nursing Home Visits

Southern Illinois Healthcare; Illinois; Remote; USD 31,000 - 49,000; Full time

Job summary

Southern Illinois Healthcare seeks a detail-oriented Medical Coder to ensure accurate ICD-10-CM, CPT/HCPCS coding for provider documentation, with emphasis on E/M visits and outpatient hospital-based encounters.

The role requires RHIA/RHIT/CCS/CCS-P/CCA/CPC credentials, 1 year of CCS-P/CCA/CPC experience, and adherence to coding guidelines. You will use encoding software and communicate clearly with providers to resolve coding issues.

Qualifications

• High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline.
• RHIA, RHIT, CCS, CCS-P, CCA, or CPC required.
• 1 year experience (2000 continuous working hours) in CCS-P, CCA, or CPC.

Responsibilities

• Follows coding policies, procedures, SOPs.
• Uses encoding software and references to assign accurate codes.
• Provider-driven coding: review or revise code selections based on documentation and guidelines.
• Non-provider driven coding: assign codes per guidelines.
• Review coding edits and resolve to allow claim submission.
• Communicate clearly with providers for additional information.
• Identify issues to Coding Lead/Supervisor/Manager affecting quality/productivity.
• Perform duties as assigned by Coding Lead/Supervisor/Manager.
• Maintain coding quality and productivity standards.
• Engage in performance improvement initiatives and department meetings.

Skills

Coding accuracy

Documentation review

Provider communication

Education

High School Diploma

Associate or Bachelor in Health Information

Tools

Encoding software

Job description

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub.Position Summary• Reviews provider documentation and revises and/or assigns ICD-10-CM codesand CPT/HCPCS codes as appropriate, based on official coding guidelines.Researches and takes appropriate action on any coding/claim edits.• Coding focus is provider based E&M level visits or outpatient hospital basedancillary visitsPrincipal Accountabilities• Standards of Performance: Respect, Integrity, Compassion, Collaboration,Stewardship, Accountability, QualityEducation• High School Diploma required. Preferred Associate or Bachelor Degree inHealth Information or a healthcare related discipline.Licenses and Certification• RHIA, RHIT, CCS, CCS-P, CCA, or CPC required.Experience and Skills• Technical Experience:o Required for CCS-P, CCA, or CPC - 1 year (2000 continuous workinghours).Role Specific Responsibilities1. Follows all coding policies, procedures, standard operating procedures2. Effectively uses encoding software and reference materials to assign appropriatecodes.3. Provider driven coding: Reviews and accepts or revises code selection basedupon documentation and coding guidelines.4. Non – provider driven coding: Reviews provider documentation and assignsappropriate codes based upon coding guidelines5. Reviews coding edits and accurately resolves so encounter can be sent to claims.6. Sends clear, respectful communications to provider in basket or queries whenadditional information is needed before finalizing coding.7. Identifies and communicates to Coding Lead/Supervisor/Manager any issuesrelated to documentation, coding or systems that may impact quality, compliance,or productivity8. Performs work que duties as assigned by Coding Lead/Supervisor/Manager.9. Maintains coding quality and productivity standards10. Actively engages and makes meaningful contribution when participating inperformance improvement initiatives, department meetings and other meetings asrequired.11. Maintains required CEU’sCompensation (Commensurate with experience):$22.74To$35.25To access our Benefits Guide/Plan Information, please click the link below:http://www.sih.net/careers/benefits