Professional Coding Spec II - Anesthesia

WVU Medicine; Harrisburg (Dauphin County); On-site; USD 65,000 - 90,000; Full time

Job summary

SYSTEM West Virginia University Health System is seeking a dedicated anesthesia coder to review surgical documentation and assign ICD-10, CPT, and HCPCS codes for complex procedures. You will ensure compliance with AMA/CMS conventions and collaborate with relevant teams to expedite billing.

The role requires two years of medical coding experience and active AHIMA or AAPC certification, with strong knowledge of anatomy and medical terminology. Expect a standard 40-hour work week in a day shift.

Qualifications

• Two years of medical coding experience required.
• Must hold HIM/coding certification (AHIMA or AAPC).
• Strong knowledge of anatomy, physiology and medical terminology.

Responsibilities

• Reviews medical record documentation to assign ICD-10, CPT, and modifier codes for diagnoses and procedures.
• Ensures timely coding, charging and abstraction for assigned areas.
• Maintains and updates coding knowledge through training and reference materials.
• Ensures accuracy and timeliness of data needed for clean billing.
• Contacts physicians or staff to obtain necessary information for accurate coding.
• Performs audits to assess coding accuracy and provides education as needed.
• Supports Revenue Cycle Operations in claim development to resolve problem accounts.

Skills

Medical coding

Attention to detail

Written & verbal communication

Anatomy knowledge

Team collaboration

Education

High School Diploma or Equivalent

AHIMA Certification

AAPC Certification

Job description

Reviews all surgical documentation to assign accurate ICD-10, CPT, HCPCS codes, and modifiers for complex procedures performed throughout WVU Medicine. Complies with national coding guidelines to ensure that all procedures are coded accurately and consistently. Applies coding conventions and rules established by the American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS) when assigning procedural, diagnostic, and HCPCS codes to ensure that they are in accordance with CCI edits, MUE edits, LCD, and NCD’s. Contacts & Collaborates with appropriate personnel for documentation insufficiencies and to expedite resolution of accounts.

MINIMUM QUALIFICATIONS:

• High School Diploma or Equivalent.
• Current HIM/Coding Certification through ONE of the following:
• American Health Information Management Association (AHIMA)
• American Academy of Professional Coders (AAPC)

EXPERIENCE:

• Two (2) years of medical coding experience.

PREFERRED QUALIFICATIONS:

• Two (2) years of physician office coding experience.

CORE DUTIES AND RESPONSIBILITIES:

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• Reviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified.
• Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas.
• Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals.
• Assures the accuracy, quality, and timely review of data needed to obtain a clean bill.
• Contacts physicians or any persons necessary to obtain information required to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process.
• Monitors on an on-going basis provider documentation. Performs audits to assess provider coding accuracy and follows up with provider education as needed.
• Provides assistance to Revenue Cycle Operations in claim development functions to resolve problem patient accounts.

PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to sit for long periods of time.
• Must have visual and hearing acuity within the normal range.
• Must have manual dexterity needed to operate computer and office equipment.
• Must be Able to lift, push or pull 10-20 pounds.

WORKING ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Standard office environment.
• Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.
• May require travel.

SKILLS AND ABILITIES:

• Must be able to concentrate and maintain accuracy during constant interruptions.
• Must possess independent decision-making ability.
• Must possess the ability to prioritize job duties.
• Must be able to handle high stress situations.
• Must be able to adapt to changes in the workplace.
• Must be able to organize and complete assigned tasks.
• Must possess excellent written and verbal communication skills.
• Must meet quality and productivity standards.
• Must possess the knowledge of anatomy, physiology and medical terminology.

Additional Job Description:

This is an Anesthesia Coding role

Scheduled Weekly Hours:

40

Shift:

Day (United States of America)

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

539 SYSTEM HIM Provider Based Coding Analysis