- 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
- 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
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Senior Specialty Coder - Tyler, United States - CHRISTUS Trinity Mother Frances Woodgate IV Bldg
Description
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:
Requirements:
