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

Southern Illinois Healthcare; Alton (IL); Remote; USD 42,000 - 56,000; Full time

Job summary

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

The role involves addressing coding/editing actions, supporting provider-based E&M visits and outpatient hospital coding, and communicating issues to leadership to maintain quality and compliance. On-site clinic and hospital settings are typical.

Qualifications

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

Responsibilities

• 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.
• Reviews coding edits and accurately resolves so encounter can be sent to claims.
• Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance.
• Performs work queue duties as assigned by Coding Lead/Supervisor/Manager.
• Maintains coding quality and productivity standards, performance improvement initiatives, department meetings and other meetings as needed.

Skills

ICD-10-CM coding

CPT/HCPCS coding

Provider documentation

Education

High School Diploma

Associate or Bachelor Degree in Health Information or related discipline

Job description

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

Standards of Performance: Stewardship, Accountability, Quality

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

Follows all coding policies, procedures, standard operating procedures

Effectively uses encoding software and reference materials to assign appropriate

Provider driven coding: upon documentation and coding guidelines.

Non – provider driven coding: appropriate codes based upon coding guidelines

Reviews coding edits and accurately resolves so encounter can be sent to claims. additional information is needed before finalizing coding.

Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance,

Performs work que duties as assigned by Coding Lead/Supervisor/Manager.

Maintains coding quality and productivity standards performance improvement initiatives, department meetings and other meetings as