[Hiring] Coder 3 @Fairview Health Services

Role Description

Fairview is looking to hire a Coder 3 to join our Coding team! This is a 1.0 FTE (80 hours every two weeks), benefit-eligible position with a schedule primarily during standard business hours, with the potential for occasional weekend hours. This role offers a flexible work environment with opportunities for independent work while collaborating with coding professionals and other departments across the organization.

The ideal candidate will have strong experience in:

• PT surgical coding
• Solid understanding of anatomy, disease processes, and medical terminology
• Detail-oriented with the ability to accurately interpret complex medical documentation
• Experience with complex surgical procedures, coding software, and electronic health records is highly preferred

This is a clinical or hospital-based coding position for an experienced coder working with specialty professional or hospital outpatient accounts. OP Coder 3 will competently assign ICD-10-CM, CPT-4, HCPCS codes to more complex outpatient accounts for billing, internal and external reporting, research, and regulatory compliance.

• Utilizes an encoder and/or computer assisted coding (CAC) software to achieve accurate and thorough coding
• Responsible for assigning APC weights, resolving medical necessity edits, and extracting data for the medical record abstract
• Researches complex coding scenarios
• Analyzes clinical documentation; assigns appropriate diagnosis, procedure and level of service codes; and abstracts the codes and other clinical data

This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements.

Qualifications

• Completion of an accredited coding certificate program or a Health Information Technician program
• 2 years of coding experience
• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist – Professional (CCS-P) or Certified Professional Coder - Hospital (CPC-H) or Certified Outpatient Coder (COC) or AAPC specialty certifications

Requirements

• Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards
• Actively participates in creating and implementing workflow improvements
• Assigns ICD-10-CM, CPT-4, or HCPCS codes to all diagnoses, treatments, and procedures on complex hospital outpatient or clinical department visits
• Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned
• Able to research and understand simple and moderately complex coding issues
• Proficient in using various coding software
• Able to problem solve simple computer issues
• Utilizes technical coding principles and/or APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT-4 procedures
• Assigns modifiers to CPT codes
• Extracts required information from electronic medical record and enters into coding software and abstracting system
• If applicable, identifies chargeable items for department visits and enters into computer system
• Follows-up on unabstracted accounts to assure timely billing and reimbursement
• Resolves any questions concerning diagnosis, procedures, clinical content of the chart or code selection through research and communication
• May query physicians on documentation according to established procedures and guidelines
• Meets productivity and quality standards as established by coding managers
• Educate multidisciplinary team members, including physicians, about frequently changing mandated rules, regulations and guidelines to ensure a compliant claim
• Identify and resolve clinical documentation and charge capture data discrepancies to improve quality of the clinical documentation, complexity of reimbursement levels assigned, and integrity of data reported
• Performs other responsibilities as needed/assigned
• Timely and accurate work
• Contributes to the process or enablement of collecting expected payment
• Understands and adheres to Revenue Cycle’s Escalation Policy

Benefits

• Generous benefit package including but not limited to medical, dental, vision plans
• Life insurance
• Short-term and long-term disability insurance
• PTO and Sick and Safe Time
• Tuition reimbursement
• Retirement
• Early access to earned wages
• More information available at Fairview Benefits

Company Description

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status.