Role Description
Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding for a minimum of 1-4 specialties. Will be Coding Professional Fee, Facility, or HCC. Professional Fee Specialties could include:
-
UR
-
Podiatry
-
Plastics
-
Pediatrics
-
OB
-
Pain Management
-
Ortho
-
Addiction
-
General Surgery
-
Internal Medicine
-
Urgent Care
-
Pulmonary
-
ED
Facility Chart types could include:
-
OT
-
PT
-
Urgent Care
-
ED
-
A variety of other specialties
Essential duties and responsibilities include:
-
Work from home and be independent in coding skills.
-
Provide various components of coding services to support clients.
-
Calculate ProFee and/or Facility E/M levels using an algorithm created by the company.
-
Recognize critical care cases by patient acuity.
-
Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.
-
Apply ICD-10-CM diagnosis codes to the highest level of specificity available.
-
Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPTยฎ, and HCPCS.
-
Interpret coding guidelines for accurate code assignment.
-
Identify the importance of documentation on code assignment and the subsequent reimbursement impact.
-
Align conduct with AHIMA's Standards of Ethical Coding and the Companyโs Code of Ethics and Business Conduct.
-
Comply with all internal policies and procedures.
-
Actively participate in Company provided training and education.
-
Maintain at least one credential through either AAPC or AHIMA.
-
Ensure compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including Personal Health Information.
Qualifications
-
All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).
-
Must have at least a minimum of 6 months of on-the-job experience.
-
Regular, predictable, and punctual attendance is required.
-
Must have working knowledge and experience with systems such as EMR, Billing, etc.
-
Must have a phone, reliable internet connection, and current coding materials such as CPT and ICD-10-CM coding references.
-
Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher.
-
Will be required to maintain a quality score of 95% or higher.
-
Must be proficient in Microsoft programs like Excel and Outlook.
-
Ability to communicate effectively and professionally both verbally and in writing.
-
Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
-
May be required to perform other duties as assigned by Leadership Team Member.
Physical Demands
-
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
-
Regular eye-hand coordination and manual dexterity is required to operate office equipment.
-
Ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions.
-
At times, Team Members are subject to sitting for prolonged periods.
-
Infrequently, Team Members must be able to lift and move material weighing up to 20 lbs.
-
Team Members may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.