[Hiring] HIM Certified Coder @Carle Health

Role Description

The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims.

• Responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers.
• Responsible for understanding and applying coding knowledge to resolve billing edits related to coding.
• Uses Carle electronic medical record systems to review clinical encounters.

Qualifications

• Certifications:
  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)
  • Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC)
  • Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC)
  • Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA)
  • Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA)
  • Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
  • Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
• One year coding experience preferred

Requirements

• Knowledge of ICD-10-CM, CPT, and HCPC coding rules and guidelines for code application
• Ability to work with others collaboratively and communicate efficiently, both orally and in writing
• Knowledge of medical science, anatomy and physiology required
• Ability to perform computer data entry
• Experience with encoders or other coding software packages preferred

Responsibilities

• Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system.
• Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment.
• Develops methodology to provide a coding process that is compliant with regulatory agencies.
• Facilitates optimization of revenue while maintaining compliance standards for the organization.
• Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, and all other necessary coding systems.
• Serves as liaison for coding and billing staff to ensure accurate charge capture.
• Reports any documentation and coding improvement needs based upon review findings.
• Responsible for maintaining coding certification, knowledge, and skills to successfully perform job duties.
• Performs provider and peer coding audits as requested.
• Assists with monitoring of internal controls for coding and billing.
• Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel.

Benefits

• The compensation range for this position is $23.58 per hour - $39.38 per hour.
• Actual compensation offered will depend on factors including experience, qualifications, location, training, licenses, shifts worked, and compensation model.
• Carle Health offers a comprehensive benefits package for team members and providers.