[Hiring] Outpatient Professional Fee Coder @Southern Illinois Healthcare

Role Description

• Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines.
• Researches and takes appropriate action on any coding/claim edits.
• Coding focus is provider based E&M level visits or outpatient hospital based ancillary visits.

Qualifications

• High School Diploma required.
• Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline.
• Licenses and Certification: RHIA, RHIT, CCS, CCS-P, CCA, or CPC required.
• Technical Experience: Required for CCS-P, CCA, or CPC - 1 year (2000 continuous working hours).

Requirements

• Follows all coding policies, procedures, standard operating procedures.
• Effectively uses encoding software and reference materials to assign appropriate codes.
• Provider driven coding: Reviews and accepts or revises code selection based upon documentation and coding guidelines.
• Non – provider driven coding: Reviews provider documentation and assigns appropriate codes based upon coding guidelines.
• Reviews coding edits and accurately resolves so encounter can be sent to claims.
• Sends clear, respectful communications to provider in basket or queries when additional information is needed before finalizing coding.
• Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance, or productivity.
• Performs work que duties as assigned by Coding Lead/Supervisor/Manager.
• Maintains coding quality and productivity standards.
• Actively engages and makes meaningful contribution when participating in performance improvement initiatives, department meetings and other meetings as required.
• Maintains required CEU’s.

Benefits

• Compensation (Commensurate with experience): $22.74 to $35.25.
• To access our Benefits Guide/Plan Information, please click the link below: Benefits Guide