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

Southern Illinois Healthcare; United States; Remote; USD 32.000 - 48.000; Vollzeit

Zusammenfassung

Southern Illinois Healthcare is seeking a skilled medical coder to review provider documentation and assign ICD-10-CM, CPT/HCPCS codes in accordance with official guidelines.

Responsibilities include researching edits, ensuring coding accuracy for provider-based E/M visits and outpatient hospital encounters, and communicating clarification needs with providers. The role requires RHIA/RHIT/CCS/CCS-P/CCA/CPC certifications and a minimum high school diploma, with higher education preferred.

Qualifikationen

• Required CCS-P, CCA, or CPC with 1 year (2000 hours) experience.
• RHIA, RHIT, CCS, CCS-P, CCA, or CPC certification required.
• High school diploma required; associate or bachelor’s preferred in Health Information.

Aufgaben

• Follows all coding policies and procedures.
• Uses encoding software and references to assign appropriate codes.
• Reviews and revises code selection based on documentation and guidelines.
• Reviews coding edits and resolves so encounters can be sent to claims.
• Communicates with providers for additional information as needed.
• Identifies issues impacting quality, compliance, or productivity.
• Performs work queue duties as assigned and maintains quality standards.
• Participates in performance improvement initiatives and meetings.

Kenntnisse

CCS-P/CCA/CPC exp

Ausbildung

RHIA/RHIT/CCS/CCS-P/CCA/CPC certs

Jobbeschreibung

Position Summary

• Reviews provider documentation and revises and/or assigns ICD-10-CM codes and 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 based ancillary visits.

Principal Accountabilities

• Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality

Education

• High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline.

Licenses and Certification

• RHIA, RHIT, CCS, CCS-P, CCA, or CPC required.

Experience and Skills

• Technical Experience:
• Required for CCS-P, CCA, or CPC - 1 year (2000 continuous working hours).

Role Specific Responsibilities

1. Follows all coding policies, procedures, standard operating procedures
2. Effectively uses encoding software and reference materials to assign appropriate codes.
3. Provider driven coding: Reviews and accepts or revises code selection based upon documentation and coding guidelines.
4. Non – provider driven coding: Reviews provider documentation and assigns appropriate codes based upon coding guidelines
5. Reviews coding edits and accurately resolves so encounter can be sent to claims.
6. Sends clear, respectful communications to provider in basket or queries when additional information is needed before finalizing coding.
7. Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance, or productivity
8. Performs work que duties as assigned by Coding Lead/Supervisor/Manager.
9. Maintains coding quality and productivity standards
10. Actively engages and makes meaningful contribution when participating in performance improvement initiatives, department meetings and other meetings as required.
11. Maintains required CEU’s

Compensation (Commensurate with experience):

$22.74 To $35.25