[Hiring] Coder RMG @Riverside Health System

Role Description

This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.

• Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture.
• Assigns diagnostic and procedure codes to simple record types up to highly complex record types.
• Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations.

What you will do:

• Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame.
• Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element.
• Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation.
• Contacts and works with physicians as needed for clarification of details to ensure correct coding.
• Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural and complication codes to all claims while meeting billing requirements of various payers.
• Coding accuracy must be maintained at 90% or better.
• Meets productivity per standards set by nationally recognized organization and specialty specific levels.
• Complies with standardized coding standards, conventions and regulations, corporate compliance standards, and reimbursement policies.
• Participates in specialty specific coding training.
• Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships as observed from provider comments, informal observation of problem-solving with providers and feedback from Administration.
• Works closely with VP/ Medical Director of RMG.
• Assists patient financial services with questions on coding and billing edits.
• Mentors and assists in training of other coders within the department.
• Participates in the development of coding policies and procedures as identified.
• Coordinates/mentors the work of designated coding employees to ensure quality and quantity of work performed through regular audits.

Qualifications

• High School Diploma or GED, Minimum (Required)
• 1 year ICD1 Coding (Medical Practice) (Preferred)
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire (Required)
• Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) Upon Hire (Required)

Company Description

To learn more about being a team member with Riverside Health System visit us at Riverside Health System Careers .