Specialty Coder Inpatient Academic - REMOTE

Advocate Aurora Health; Myrtle Point (OR); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading nonprofit health system is seeking an experienced coder to review complex inpatient documentation and assign appropriate codes. The ideal candidate will have at least 7 years of coding experience, a certification from AAPC or AHIMA, and advanced proficiency in coding guidelines. This full-time remote position offers competitive compensation and a comprehensive suite of benefits.

Benefits

Paid Time Off

Health and welfare benefits

Flexible Spending Accounts

Educational Assistance Program

Qualifications

• 7 years' experience inpatient coding in acute care facilities.
• Coding Certification from AAPC or AHIMA required.
• Expert level understanding of coding standards and practices.

Responsibilities

• Review complex inpatient documentation to assign codes using ICD-10 CM/PCS.
• Ensure compliance with coding guidelines and regulations.
• Communicate with clinicians regarding disease processes for accurate coding.

Skills

Advanced proficiency of ICD, CPT and HCPCS coding guidelines

Excellent communication skills

Excellent organization and prioritization skills

Excellent analytical skills

Ability to work independently

Education

Associate's Degree in Health Information Management

Job description

Overview

Department: 10460 Enterprise Revenue Cycle - Facility Production Coding Admin

Status: Full time

Benefits Eligible: Yes

Hours Per Week: 40

Schedule Details/Additional Information:

Monday through Friday Full time 80 hours every two weeks, first shift. Remote position

Pay Range

$28.05 - $42.10

Major Responsibilities

• This role will have all responsibilities of coder I, II and III in addition to: reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software.
• Adhere to organizational and internal department policies and procedures to ensure efficient work processes.
• Responsible for coding high dollar and long length of stay cases for all patient types.
• Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate.
• Serves as a subject matter expert to Coding department leaders and peers. Recommends modifications to current policies and procedures as needed to coincide with government regulations.
• Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics. Knowledgeable in researching coding related topics and issues.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.
• Collaborates with the Clinical Documentation Improvement and Quality teams, to ensure a match in the DRG and reconciles each Medicare case with the working DRGs from a CDI perspective.
• Responsible for clinician communication related to disease processes on a clinical level to ensure accurate coding.
• Participates in payer audits and meetings by acting as a resource for coding-related audits, as requested.
• Attends meetings with clinical teams regarding updates in codes for complex specialties.
• Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.
• Meets and exceeds departmental quality (95% or more) and productivity standards (100%). Achieves productivity expectations to support discharged not final billed (DNFB).
• Performs any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Licensure, Registration, and/or Certification Required

• Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)

Education Required

• Associate\'s Degree in Health Information Management or related field.

Experience Required

• Typically requires 7 years\' experience inpatient coding in acute care tertiary facility that includes experience in revenue cycle processes, Clinical Documentation Improvement, Research and health information workflows.

Knowledge, Skills & Abilities Required

• Advanced proficiency of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.
• Excellent computer skills including Microsoft Office products and electronic mail, with exposure or experience with electronic coding systems or applications.
• Excellent communication (oral and written) and interpersonal skills.
• Excellent organization, prioritization, and reading comprehension skills.
• Excellent analytical skills, with a high attention to detail.
• Ability to work independently and exercise independent judgment and decision making.
• Ability to meet deadlines while working in a fast-paced environment.
• Ability to take initiative and work collaboratively with others.

Physical Requirements and Working Conditions

• Exposed to a normal office environment.
• Must be able to sit for extended periods of time.
• Must be able to continuously concentrate.
• Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
• Operates all equipment necessary to perform the job.
• Incumbent may be required to perform other related duties.

#REMOTE

#LI-REMOTE

Our Commitment to You

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate\'s job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

About Advocate Health

Advocate Health is a nonprofit, integrated health system. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. It employs thousands of teammates across hospitals and care locations and offers one of the nation’s largest graduate medical education programs. Advocate Health is committed to providing equitable care for all, with substantial community benefits.