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. Responsibilities include:
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Coding Professional Fee, Facility, or HCC.
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Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED.
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Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties.
Essential duties and responsibilities include:
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Work from home and be independent in coding skills.
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Provide various components of coding services to support clients.
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Calculate ProFee and/or Facility E/M levels using an algorithm.
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Recognize critical care cases by patient acuity.
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Code surgical procedures typical of an ER setting to capture additional revenue.
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Apply ICD-10-CM diagnosis codes to the highest level of specificity.
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Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPTยฎ, and HCPCS.
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Interpret coding guidelines for accurate code assignment.
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Identify the importance of documentation on code assignment and reimbursement impact.
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Align conduct with AHIMA's Standards of Ethical Coding and the Companyโs Code of Ethics.
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Comply with all internal policies and procedures.
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Actively participate in Company provided training and education.
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Maintain at least one credential through either AAPC or AHIMA.
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Ensure compliance with all privacy and security rules and regulations.
Qualifications
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All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).
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Must have at least a minimum of 6 months of on-the-job experience.
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Regular, predictable, and punctual attendance is required.
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Must have working knowledge and experience with systems such as EMR, Billing, etc.
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Must have a phone, reliable internet connection, and current coding materials.
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Must maintain an ongoing productivity level and accuracy rate of 95% or higher.
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Must maintain a quality score of 95% or higher.
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Proficient in Microsoft programs like Excel and Outlook.
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Ability to communicate effectively and professionally both verbally and in writing.
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Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
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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 as described. Physical demands include:
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Regular eye-hand coordination and manual dexterity to operate office equipment.
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Ability to perform work at a computer terminal for 6-8 hours a day.
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Function in an environment with constant interruptions.
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Ability to sit for prolonged periods.
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Occasionally lift and move material weighing up to 20 lbs.
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May experience elevated levels of stress during periods of increased activity and multiple deadlines.