Senior Specialty Coder - Remote (General Surgery)

 Published 10 days ago
    
 United States
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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) – AAPC
    • Certified Coding Specialist (CCS) – AHIMA
    • Certified Coding Associate (CCA) - AHIMA


Work Type:

Full Time


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