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Senior Specialty Coder

4 months ago


Tyler, United States CHRISTUS Trinity Mother Frances Woodgate IV Bldg Full time

Job Description

Summary:

*CHRISTUS Health System offers the Specialty Coder Senior position as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico or Georgia to further be considered for this position.*

Responsible for maintaining current and high-quality ICD-10-CM and CPT coding of all professional services, including inpatient and outpatient Evaluation & Management (E/M), and operative/surgical procedures for multi-specialties. Via assigned work queues, verifies all charges and code assignments are correct. Accurately assigns appropriate modifiers to CPT codes. Communicates regularly with providers regarding coding concerns, missing/incomplete documentation, and coding policy updates. Responsible for assigned coding denial work queues.

Responsibilities:

Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG. Abstracts required information from source documentation, to be entered into appropriate CHRISTUS Health electronic medical record system. Validates admit orders and discharge dispositions. Works from assigned coding queue, completing and re-assigning accounts correctly. Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner. Meets or exceeds an accuracy rate of 95%. Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). Assists in implementing solutions to reduce backend-errors. Identifies and appropriately reports all hospital-acquired conditions (HAC). Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists. Participates in both internal and external audit discussions. All other work duties as assigned by Manager 

Requirements:

Minimum requirements: Completion of an AAPC or AHIMA approved Coding Certificate Program; High school diploma or GED

Minimum 2 years of multi-specialty physician operative and procedural services coding in an acute care hospital and/or outpatient clinic setting. *Specific experience General Surgery required.

Minimum 1 year of professional billing, claim denials, appeals, and/or revenue cycle work Expert knowledge of CPT, ICD-10, HCPCS, and medical terminology Strong knowledge of Medicare, Medicaid, and Commercial payers coding/billing guidelines and compliance regulations, including medical policy restrictions (LCDs and NCDs) Exceptional written and verbal communication skills Strong analytical and research skills, with extreme attention to detail Proficient using multiple software applications, including: Excel, Word, and PowerPoint Ability to prioritize assignments to meet deadlines Ability to meet set productivity and quality standards Able to work independently in a remote setting, as well as part of a team EPIC and Meditech experience preferred One of the following certifications is required: Certified Professional Coder (CPC) – AAPCCertified Coding Specialist (CCS) – AHIMACertified Coding Associate (CCA) - AHIMA