Outpatient Family Practice Coder (CCS/CPC)

CO03 Southern Illinois Medical Services NFP; Illinois; Hybrid; USD 31,000 - 49,000; Full time

Job summary

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

Responsibilities include interpreting documentation, resolving coding edits, and communicating with providers to ensure accurate claims submission. A HS diploma is required; degrees in health information are preferred. Remote work is not described.

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

Responsibilities

• Follows all coding policies, procedures, standard operating procedures
• Effectively uses encoding software and reference materials to assign appropriate codes.
• Provider driven coding: Reviews and accepts or revises code selection based upon documentation and coding guidelines
• Non - provider driven coding: Reviews provider documentation and assigns appropriate codes based upon coding guidelines
• Reviews coding edits and accurately resolves so encounter can be sent to claims
• Sends clear, respectful communications to provider in basket or queries when 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, or productivity
• Performs work queue duties as assigned by Coding Lead/Supervisor/Manager
• Maintains coding quality and productivity standards
• Actively engages and makes meaningful contribution when participating in performance improvement initiatives, department meetings and other meetings as required
• Maintains required CEUs

Skills

CCS-P

CCA

CPC

Coding software

Education

High School Diploma

Associate degree in Health Information

Bachelor degree in Health Information

Job description

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

Responsibilities include interpreting documentation, resolving coding edits, and communicating with providers to ensure accurate claims submission. A HS diploma is required; degrees in health information are preferred. Remote work is not described.