Coder 3 (Remote)

Overview:

This is a clinical coding position, for an experienced coding analyst working with hospital outpatient accounts.

This is a clinical or hospital-based coding position for an experienced coder working with specialty professional or hospital outpatient accounts.

OP Coder 3 will competently assign ICD-10-CM, CPT-4, HCPCS codes to more complex outpatient accounts for billing, internal and external reporting, research, and regulatory compliance. Utilizes an encoder and/or computer assisted coding (CAC) software to achieve accurate and thorough coding. Is responsible for assigning, APC weights, resolving medical necessity edits, and extracting data for the medical record abstract. Researches complex coding scenarios. OP Coder 3 analyzes clinical documentation; assign appropriate diagnosis, procedure, and, level of service codes; and abstracts the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements.

This is a fully remote position that is approved for a 1.0 FTE (80 hours per pay period) on the day shift with a one weekend per month requirement.

Some of the benefits we offer at Fairview include medical insurance - as low as $0, dental insurance - also a $0 option, PTO (24 days per year starting), and a 403B with up to a 6% employer match; visit to learn more and get all the details. Wages start at $25.54 and will increase based on experience. We also offer a $2/hr shift differential for weekends you work.

Responsibilities/Job Description:

Job Expectations:

Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards.

Actively participates in creating and implementing workflow improvements.

Assigns ICD-10-CM, CPT-4, or HCPCS codes to all diagnoses, treatments, and procedures on complex hospital outpatient or clinical department visits.

Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.

Is able to research and understand simple and moderately complex coding issues.

Is proficient in using various coding software. Is able to problem solve simple computer issues.

Utilizes technical coding principles and/or APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT-4 procedures.

Assigns modifiers to CPT codes.

Extracts required information from electronic medical record and enters into coding software and abstracting system.

If applicable, identifies chargeable items for department visits and enters into computer system.

Follows-up on unabstracted accounts to assure timely billing and reimbursement.

Resolves any questions concerning diagnosis, procedures, clinical content of the chart or code selection through research and communication.

May query physicians on documentation according to established procedures and guidelines.

Meets productivity and quality standards as established by coding managers.

Educate multidisciplinary team members, including physicians, about frequently changing mandated rules, regulations and guidelines to ensure a compliant claim.

Identify and resolve clinical documentation and charge capture data discrepancies to improve quality of the clinical documentation, complexity of reimbursement levels assigned, and integrity of data reported.

Performs other responsibilities as needed/assigned.

Timely and accurate work.

Contributes to the process or enablement of collecting expected payment.

Understands and Adheres to Revenue Cycle’s Escalation Policy.

Qualifications:

Required Education

Completion of an accredited coding certificate program or a Health Information Technician program.

Required Experience

2 years of coding experience

Required License/Certification/Registration

1 of the following Outpatient or Professional Fee Coding certifications:

RHIA - Registered Health Information Adminstrator

RHIT - Registered Health Information Technician

CCS - Certified Coding Specialist

CPC - Certified Professional Coder

CCS-P: Certified Coding Specialist - Professional

CPC-H: Certified Professional Coder - Hospital

COC - Certified Outpatient Coder

AAPC Specialty Certifications

Preferred Education

Associates or Bachelor’s degree in health information

Preferred Experience

2 years of coding experience with a variety of professional and hospital accounts – i.e. Observation, Surgical outpatients, Interventional Radiology, Heart Catheterization, Professional billing surgical specialty.

Preferred License/Certification/Registration

Outpatient or Professional Fee Coding: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist – Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H) COC – Certified Outpatient Coder

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