[Hiring] HIM Surgery Coder @University of Vermont Health Network

Role Description

This is a fully remote position.

Applies knowledge of anatomy and physiology, medical terminology and pathology of disease processes while analyzing clinical documentation for inpatient and outpatient records for facility and/or professional services coding.

• May be assigned to work edit lists for accuracy of claims processing and data reporting.
• Applies knowledge of ICD-10 and CPT-4 nomenclatures and American Hospital Association, American Medical Association and applicable Federal and third party payer guidelines to accurately and compliantly determine:
• Principal and secondary ICD-10 diagnoses codes
• Principal and secondary ICD-10 procedure codes for all visits
• Assigns corresponding CPT-4 codes for all inpatient surgery cases or outpatient CPT defined procedural services for facility and professional billing and assignment of appropriate modifiers.
• Appropriately assigns ICD-10 codes for professional services per medical necessity criteria.
• Follows UVMMC compliance and HIM coding compliance policies while maintaining financial goals and meeting or exceeding accuracy and productivity standards.
• Utilizes various electronic information systems to accomplish coding including:
• EPIC
• 3M/Solventum Coding and Reimbursement Systems
• NCCI edit software
• EncoderPro
• Other clinical documentation systems or reference systems as deemed appropriate.
• Must have knowledge of charge master and charge maintenance.
• Effectively communicates with and acts as a resource to health care providers, department managers and staff to resolve documentation, charge or other issues as they arise to ensure accuracy of coding and reimbursement.
• May be assigned other duties as deemed necessary by the HIM Supervisor and/or HIM Manager.
• Will adhere to the HIM Mission and Vision.
• All coders will continually seek to improve coding knowledge through various mediums including seminars, articles, networking, web access and other as available.

Qualifications

• Minimum: High school diploma.
• College level Anatomy and Physiology and Medical Terminology required.
• Associate's degree or Bachelor's degree in Allied Health or HIM preferred.
• AHIMA or AAPC certification (above an associate level) required.
• Must maintain certification status and CEUs as a condition of continued employment.
• If certification lapses, must recertify within six months; failure to do so may result in demotion.
• Recertification is at the expense of the employee.

Requirements

• Two years of Coding in a university hospital or professional setting or two years of coding as a UVMMC, HIM Coder or MGC Coder.
• Coding or billing experience preferred, utilizing ICD-10-CM, CPT-4, HCPCS level II.
• Experience performing clinical documentation record reviews.
• Demonstrated ability to meet or exceed quality and productivity standards.

Benefits

• This is a bargaining union position.