Senior Specialty Coder

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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