Clinical Coder II

1 week ago

Lexington, United States Appalachian Regional Healthcare Full time

The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes.



Dependent upon level of expertise defined in the Education/Training section:

 

Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, namely CPT-4 for surgical procedures, for outpatient and/or physician services; and/or HCPCS coding, namely Evaluation and Management, for physician services.

 

Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital

Association’s Coding Clinics, and/or American Medical Association’s CPT Assistant.

 

Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled nursing facilities, inpatient rehabilitation as well as other third party medical billing requirements.

 

Assigns codes based on medical record documentation and seeks further clarification from physicians when documentation is unclear, illegible, or conflicting.

Achieves and maintains a high level of accuracy and productivity in coded claims.

 

Maintains a working knowledge of coding compliance.

Works in conjunction with the Business Office to reconcile denied claims due to coding issues.

 

Maintains a working knowledge of the HBOC and 3M system.

 

May perform some coding audits for quality checks.

 

May do some physician education.

 

Performs other related duties as assigned.


Dependent upon level of expertise defined in the Addendum:

Must possess a minimum of two year coding experience.

Certified Coding Specialist (CCS) approved by the American Health Information Management Association (AHIMA) for inpatient or hospital outpatient coding.

 

Bachelor or Associate degree and successful completion of the examination for Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) approved by AHIMA for inpatient or hospital outpatient coding.

 

Certified Procedural Coder- Hospital (CPC-H) approved by AAPC for hospital outpatient coding.

 

Certified Coding Specialist- Physician (CCS-P) approved by AHIMA for physician services coding.

 

Certified Procedural Coder (CPC) approved by the American Academy of Professional Coders (AAPC) for physician services coding.

 

Certified Coding Associate (CCA) approved by the American Health Information Management Association (AHIMA) for professionals new to the coding field. These individuals must seek further certification as a CCS, CPC-H, CCS-P, or CPC dependent upon their coping expertise within 5 years of date of hire.

 

All applicants for the Clinical Coder position must take and pass coding tests
administered by ARH prior to hiring. The coding test also consists of coding directly from sample patient charts.

  • HEDIS Coder/Abstractor

    5 months ago

    Lexington, United States PSG Global Solutions Careers Full time

    Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a HEDIS Coder/Abstractor, working in Insurance industry in Kentucky, United States. Review medical records and document to abstract clinical data for HEDIS reporting. Identify and extract relevant details and data within...

  • Clinical Nutrition Manager II

    2 weeks ago

    LEXINGTON, United States Sodexo Full time

    Unit Description: No need to go far to change the world – one patient at a time. Sodexo is seeking a Clinical Nutrition Manager 2 for Cardinal Hill Rehabilitation Hospital located in Lexington, Kentucky.  Serving Kentucky and the greater Lexington and Frankfort areas, Cardinal Hill Rehabilitation Hospital is a leading provider of post-acute care...

  • Clinical Nutrition Manager II

    3 weeks ago

    LEXINGTON, United States Sodexo Full time

    Unit Description: No need to go far to change the world – one patient at a time. Sodexo is seeking a Clinical Nutrition Manager 2 for Cardinal Hill Rehabilitation Hospital located in Lexington, Kentucky.  Serving Kentucky and the greater Lexington and Frankfort areas, Cardinal Hill Rehabilitation Hospital is a leading provider of post-acute care...

  • Senior Clinical Data Manager

    3 months ago

    Lexington, United States Katalyst Healthcares & Life Sciences Full time

    Responsibilities: To responsible for study Data Management activities from study start up to close out. To creates the data cleaning strategy and leads the data cleaning efforts supporting Clinical Studies. Works in coordination with Data Management, Biostatistics and Clinical Operations teams to develop standard operating processes in...

  • Clinical Excellence Practitioner

    7 days ago

    Lexington, Kentucky, United States Baptist Healthcare System, Inc. Full time

    Baptist Health Lexington Externship OpportunityThis paid externship with a trained preceptor at Baptist Health Lexington offers additional clinical practice experience to enhance your preparation as a future licensed nurse.Program OverviewThe Nurse Extern II program is a collaboration between Baptist Health Lexington and eligible accredited nursing programs....

  • Care Home Matron

    3 weeks ago

    Lexington, United States CenterWell Senior Primary Care Full time

    b>Become a part of our caring community and help us put health first Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 300 centers across 15 states under two brands: Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers...

  • Clinical Case Manager II

    4 months ago

    Lexington, United States Encompass Health Full time

    Cardinal Hill Rehabilitation Hospital Case Manager Full Time, Part Time, and PRN Shifts available. Must be qualified to independently complete an assessment within the scope of his/her discipline (for example RN, SW, PT, OT, SLP and Rehabilitation counseling More personalized patient care More professional impact BE THE CONNECTION. In your role as case...

  • Dialysis RN

    4 weeks ago

    Lexington, United States Travel Nurse Source Full time

    TravelNurseSource is working with ICONMA, L.L.C. to find a qualified Dialysis RN in Louisville, Kentucky, 40201!About The PositionWithin ICONMA's Healthcare and Clinical division, we offer more than just a job; we offer you a path to a rewarding career. Our team is comprised of highly specialized recruitment professionals who are passionate about the...

  • Administrative Asst II

    1 week ago

    Lexington, United States Baptist Healthcare System, Inc. Full time

    Job Description: Administrative Asst II (PRN) Lexington, KY Part-time, 1st Shift Baptist Health outpatient oncology, where compassionate care meets advanced treatment. Our cancer center offers medical oncology, infusion therapy, radiation oncology, and genetic counseling. We also provide nutritional counseling, palliative care, psychological support, and...

  • Administrative Asst II

    1 week ago

    Lexington, United States Baptist Healthcare System, Inc. Full time

    Job Description: Administrative Assistant II Surgical Services I Lexington Full-time, First Shift Baptist Health Lexington Surgical Services Department encompasses several key areas: the Pre-Op Department, 20 operating rooms with a business office staff responsible for scheduling, a Postoperative Care Unit, an Endoscopy Department with dedicated pre- and...

  • Clinical Nutrition Manager II

    3 weeks ago

    Lexington, KY, United States Sodexo Full time

    Unit Description: No need to go far to change the world – one patient at a time. Sodexo is seeking a Clinical Nutrition Manager 2 for Cardinal Hill Rehabilitation Hospital located in Lexington, Kentucky.  Serving Kentucky and the greater Lexington and Frankfort areas, Cardinal Hill Rehabilitation Hospital is a leading provider of post-acute care...

  • Administrative Asst II

    6 days ago

    Lexington, United States Baptist Health Full time

    Job Description:Administrative Asst II (PRN) Lexington, KYPart-time, 1st ShiftBaptist Health outpatient oncology, where compassionate care meets advanced treatment. Our cancer center offers medical oncology, infusion therapy, radiation oncology, and genetic counseling. We also provide nutritional counseling, palliative care, psychological support, and access...

  • Respiratory Therapist II Specialist

    7 days ago

    Lexington, Kentucky, United States Baptist Health Full time

    Job OverviewBaptist Health's Respiratory Care department is dedicated to providing exceptional patient care and advancing treatment options for respiratory-related conditions.The ideal candidate will possess strong clinical skills, a passion for delivering high-quality care, and a commitment to teamwork and innovation.About the RoleThis full-time Respiratory...

  • Administrative Asst II

    6 days ago

    Lexington, United States Baptist Health Full time

    Job Description:Administrative Assistant IISurgical Services I LexingtonFull-time, First ShiftBaptist Health Lexington Surgical Services Department encompasses several key areas: the Pre-Op Department, 20 operating rooms with a business office staff responsible for scheduling, a Postoperative Care Unit, an Endoscopy Department with dedicated pre- and post-op...

  • CenterWell Senior Primary Care Physician

    1 week ago

    Lexington, Kentucky, United States CenterWell Senior Primary Care Full time

    About Our CompanyAt CenterWell Senior Primary Care, we're dedicated to delivering proactive, preventive care to seniors. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams spend up to 50 percent more time with patients, providing...

  • CenterWell - Physician - Lexington

    4 weeks ago

    Lexington, United States CenterWell Senior Primary Care Full time

    DescriptionHumana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 300 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at...

  • Respiratory Therapist II

    2 weeks ago

    Lexington, United States Baptist Health Full time

    Job Description: Resp Care Therapist II (RRT) Lexington, KY Full Time 3rd Shift (Nights) The Baptist Health Respiratory Care department helps patients breathe better and live healthier. Our expert team provides personalized care and advanced treatments for conditions like asthma and COPD. We offer comprehensive pulmonary function testing, advanced ventilator...

  • Senior Primary Care Physician Assistant

    6 days ago

    Lexington, Kentucky, United States CenterWell Full time

    CenterWell Senior Primary Care is a leading provider of proactive, preventive care to seniors. We take a holistic approach to healthcare, focusing on personalized experiences and addressing the factors that impact patient well-being.Job Summary:We are seeking a skilled Nurse Practitioner to join our team-based care environment. As a value-based care...

  • CenterWell - Physician - Lexington

    1 month ago

    lexington, United States CenterWell Senior Primary Care Full time

    DescriptionHumana’s Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 300 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors...

  • CenterWell - Physician - Lexington

    4 weeks ago

    Lexington, United States CenterWell Senior Primary Care Full time

    DescriptionHumana’s Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 300 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors...