HIM Cert Coder Pro Fee - CFH

Carle Health; Champaign (IL); On-site; USD 32,000 - 54,000; Full time

Job summary

Carle Health is seeking an HIM Certified Coder in Champaign, IL, to code inpatient, outpatient and professional encounters using ICD-10-CM, CPT and HCPCS codes. You will work with clinical staff and coding software to ensure compliant billing and accurate charge capture.

The role requires CIC/CCS/CCS-P/RHIT/RHIA/CPC/COC certifications, strong knowledge of coding guidelines, and the ability to collaborate across departments.

Qualifications

• Knowledge of ICD-10-CM, CPT, and HCPCS coding rules and guidelines.
• Ability to work with others collaboratively and communicate efficiently, both orally and in writing.
• Knowledge of medical science, anatomy and physiology required.
• Ability to perform computer data entry.

Responsibilities

• Code inpatient, outpatient, and professional encounters accurately using ICD-10-CM, CPT, HCPCS and modifiers.
• Provide interdepartmental coding assistance to determine accurate codes.
• Develop compliant coding processes aligned with CMS and CPT guidelines.
• Audit and monitor coding for accuracy and assist with external audits as needed.
• Serve as a coding expert and liaison to billing staff to ensure proper charges.

Skills

CIC

CCS-P

CCS

RHIT

RHIA

CPC

COC

Education

High School Diploma or GED

Job description

Overview

The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters.

Qualifications

Certifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC),

Education: High School Diploma or G.E.D

Work Experience: Knowledge of ICD-10-CM, CPT, and HCPC coding rules and guidelines for code application, ability to work with others collaboratively and communicate efficiently, both orally and in writing. Knowledge of medical science, anatomy and physiology required. Ability to perform computer data entry. Experience with encoders or other coding software packages preferred.

Responsibilities

Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the patient.Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment.Develops methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant, etc.Facilitates optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system, assisting with various patient or payor related charge/account inquiries, research on various coding/billing related topics as requested by various sources internal and external to the organization, etc.).Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties.Serve as liaison for coding and billing staff to ensure accurate charge capture.Reports any documentation and coding improvement needs based upon review findings.Responsible for maintaining coding certification, knowledge and skills to successfuly perform job dutiesPerforms provider and peer coding audits as requested Assist with monitoring of internal controls for coding and billing. Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel.

About Us

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [e-mail].

Compensation and Benefits

The compensation range for this position is $23.58per hour - $39.38per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model.

Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.