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Coder III

2 weeks ago

Remote, Oregon, United States Global IT Resources Full time $60,000 - $120,000 per year

Required Certifications & Licensure:-Completion of a certified coding program or graduate of a CAHIM accredited HIT program required.-CCS Credential.

Approved to work remote in the following states:-California-Georgia-Iowa-Missouri-Nebraska-North Carolina-Tennessee-Texas-Utah-Wisconsin-Wyoming-Indiana

If residing in CA, they cannot work from
•Berkeley
•Emeryville
•Los Angeles City/Los Angels County
•San Francisco City
•San Diego City
•Oakland
•Santa Monica

Schedule: Monday through Friday 8am-5pm, but the Coder will work with their manager to set their schedule

Job Summary

We are seeking a detail-oriented and experienced Senior Coder to join our healthcare team. The ideal candidate will possess extensive knowledge of medical coding and billing processes, ensuring accurate coding for diagnoses, procedures, and services provided to patients. This role is crucial in maintaining compliance with healthcare regulations and optimizing revenue cycle management.

Responsibilities

  • Reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, and CPT-4 codes.-Codes are used for billing, internal and external reporting, research and regulatory compliance activities.-Resolves billing related errors and assists with workflow changes and process improvement projects.-Meets ongoing productivity and quality standard of 95% accuracy rate or better.-Verifies that all ICD-10 codes are correctly captured.-Verifies that physician is correctly abstracted.-Keeps abreast of coding guideline changes.-May identify chargeable items for facility level for given department.-May assign codes for diagnoses and treatment for ancillary outpatient encounters.-Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines.-Performs other duties as assigned.-Additionally, the Coder III utilize0s technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM and CPt-4 procedures.-Assigns codes for diagnoses, treatment and procedure for multiple specialized departments, including Outpatient ancillary, Emergency Department, and Inpatient and Outpatient Surgery.-Determines the correct principal diagnosis, co-morbidities, complications, secondary conditions and surgical procedures.-Assigns MS-DRG, Present on Admission (POA) indicators, Hospital Acquired conditions), and accurately abstracts discharge dispositions.-Queries physicians per established policy and procedure when documentation is not clear or conflicting.

Required Skills & Experience:-Five years of progressive inpatient coding experience in an acute care facility.

Job Types: Full-time, Contract

Pay: $ $45.00 per hour

Application Question(s):

  • Do you reside in Approved to work remote in the following states:

-California

-Georgia

-Iowa

-Missouri

-Nebraska

-North Carolina

-Tennessee

-Texas

-Utah

-Wisconsin

-Wyoming

-Indiana

  • Do you reside in CA, if so they cannot work from these cities/locations:


•Berkeley

•Emeryville

•Los Angeles City/Los Angels County

•San Francisco City

•San Diego City

•Oakland

•Santa Monica

Education:

  • Bachelor's (Preferred)

Experience:

  • inpatient coding experience in an acute care facility: 5 years (Required)

License/Certification:

  • CAHIM accredited HIT program required. -CCS Credential. (Required)

Work Location: Remote