Profee Edits Coder - Multi Specialty (Non-Surgical)

Job Description

Description:

About e4health

At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do:

Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth.

Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day.

WE GROW: We believe in win/win outcomes—when our customers win, we win.

GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions.

Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully.

Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our solutions streamline clinical, financial, and health information workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at

POSITION TITLE:

Professional Fee Coder, Edits

ROLE TYPE:

Full Time

EMPLOYMENT TYPE:

Non-Exempt

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Assign appropriate ICD-10-CM, E/M, CPT, HCPCS codes and modifiers to professional fee accounts as per designated workflow. Evaluation and management as well as surgical procedures may be assigned

Abstract and enter coded data and/or charges for physician statistical and reporting requirements

May assign/validate professional fee level of service based upon appropriate guidelines based upon place of service and date of service

Query physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate

Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution

Communicate with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts

Maintain required productivity and quality requirements

Maintain coding credential requirements

BENEFITS:

We offer an excellent salary, full benefits package including 401(k) with company match, medical, dental, vision, life, short/long term disability insurance, and PTO policy.

PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:

Sitting, talking, hearing and near vision are required over 90% of the time. Feeling is required over 90% of the time and reaching is required about 50% of the time. The ability to travel to field sites may be required up to 15% of the time.

WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS:

Over 90% of the time is spent indoors, with protection from weather conditions. Exposure to noise levels that may be distracting or uncomfortable is present in only unusual situations.

e4health is an equal opportunity employer and will consider all applications without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, gender, sexual orientation, gender identity or any other legally protected category.Requirements:

REQUIRED QUALIFICATIONS:

Candidate must possess an approved AHIMA or AAPC coding credential

Minimum 2 years of profee edits for office and hospital setting

Multi specialty profee edit experience (non surgical)

In office procedures along with claim edits and charge validation

Cerner and Optum experience required

Shift schedule: 6am - 7pm EST

KEY SUCCESS ATTRIBUTES:

Integrity, passion, and ethics are required

Demonstrates strong collaboration skills

Has strong analytic and problem-solving abilities and techniques

Exhibit consistent initiative with strong drive for results and success

Demonstrate commitment to a team environment?

Well-developed written, verbal, and presentation communication skills including deep listening and attention to detail

Ability to self-motivate and self-direct

Possess strong time management and organizational skills

Commitment and adherence to company Core Values

CORE COMPETENCIES:

High level of integrity & ethical judgement

Communication

Consistency and Reliability

Meeting Standards

Full-time