[Hiring] Coder II @UofL Health

Role Description

The Coder II is responsible for abstracting and assigning valid CPT, ICD-10, HCPCs and modifiers to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and education opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. The Coder II will work independently with limited oversight and may require direction from supervisor or more senior co-workers on complex cases. Responsible for coding surgical procedures in accordance with the Coding Guidelines for Surgical Procedures. Proper use of modifiers in surgical coding.

Qualifications

• High school diploma or GED/equivalent (required)
• Three (3) years of coding experience (required)
• Previous Electronic Health Record Experience (preferred)
• Certified Professional Coder (CPC) accredited by the American Academy of Professional Coders (AAPC) (required)
• Certified Coding Specialist (CCS) or Certified Coding Specialists Based (CCS-P) accredited by the American Health Information Management Association (AHIMA) (required)

Requirements

• Accurately abstracts information from the service documentation, assigns appropriate CPT, ICD-10, HCPCs codes into the appropriate billing systems, ensuring compliance with established guidelines
• Identifies and communicates deficiencies that impact the billing process
• Completes encounters in the coding work queue or reports in a timely manner
• Identifies trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing within areas of responsibility/specialty
• Reviews and resolves denials
• Ensures documentation meets current EM Guidelines for Providers
• Ensures documentation meets Teaching Physician Rules as mandated by the Center for Medicare and Medicaid Services (CMS) and UofL Health policies prior to release of a code for billing
• Ensures documentation for Advanced Practice Providers meets payer specific rules prior to release of a code for billing
• Provides comments/suggestions relative to weak areas identified in the coding reviews
• Provides trending deficiencies to Senior Manager and Compliance Educator, as appropriate
• Assists Coder Lead or Supervisor in training and mentoring staff
• Communicates professionally with providers, practice management, and other stakeholders either verbally or in writing
• Meets or exceeds organization coding production and quality standards
• Participates in special projects and completes duties as assigned
• Develops daily/weekly communication with office managers, department, and providers
• Responds in a timely manner to questions from manager, providers, department, and representative
• Maintains compliance with rules and regulations regarding coding
• Ability to work within a team environment and meet monthly goals
• Maintains compliance with all company policies, procedures and standards of conduct
• Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
• Performs other duties as assigned

Company Description

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.