Coder II Reimbursement
job closed
company
This health system is one of the largest faith-based, nonprofit health care delivery systems in the United States. It has 29 hospital locations including 19 acute-care hospital locations, five short-stay hospitals, two behavioral health hospitals, two rehabilitation hospitals and one transitional care hospital, all owned, operated, joint-ventured or affiliated with the system. It has more than 3,900 licensed beds, employs more than 24,000 people, and counts more than 6,000 physicians* with active staff privileges at its hospitals.
overview
The Coder II Reimbursement will accurately abstract information from the medical records assigns ICD-9/10-CM, CPT-4, and HCPCS level II codes in compliance with established guidelines and provide codes to various departments upon request. This person will also review supporting clinical documentation for hospital based services and procedures to ensure accurate code assignment in support of third party payer guidelines and maintains documentation to record/track discrepancies. Other duties may include validating charges using appropriate tools and validating diagnosis with the medical documentation provided. In this position, the ideal candidate will be able to compare hospital charges posted against procedures coded and identify any discrepancies, and will notify leadership of any discrepancies and collaborated to rectify the same. The Coder II Reimbursement will also participate in special projects and completes other duties as assigned. **All candidates must have their CPC, not CPC-A (meaning apprentice). "Must Have" Skills from the Account Executives: 1. Experience working with application systems, Practice Management, Encoder Pro & Epic. 2. H.S. Diploma or Equivalent, required. 3. Two (2) years of coding experience. Completion of college level courses in medical terminology, anatomy and physiology, or similar. 4. Thorough understanding of health insurance and medical costs. 5. Knowledge of third party billing regulations, professional operations, and third party payer requirements. 6. CPC - Certified Professional Coder, required - OR- CCS-P - Certified Coding Specialist - Physician-based, required; 7. Other Specialty certification such as CGSC, COSC, CCC, etc. Upon Hire, preferred.