[Hiring] Senior Coder @Highmark Health

Role Description

This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.

Essential Responsibilities

• Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)
• Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
• Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
• Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
• Acts as a mentor and subject matter expert to others. (5%)
• Performs other duties as assigned or required. (5%)

Qualifications

• Minimum: High School/GED
• 5 years of Hospital and/or Physician Coding
• 1 year of Coding - all specialties and service lines
• Extensive knowledge in Trauma/Teaching/Observation guidelines
• Successful completion of coding courses in anatomy, physiology and medical terminology
• Any of the following certifications:
  • Certified Coding Specialist (CCS)
  • Registered Health Information Technician (RHIT)
  • Registered Health Information Associate (RHIA)
  • Certified Coding Specialist Physician (CCS-P)
  • Certified Professional Coder (CPC)
  • Certified Outpatient Coder (COC)
• Preferred: Associate's Degree

Requirements

• This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
• Employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.
• Compliance with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures.
• Compliance with all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
• Adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Benefits

• Pay Range Minimum: $23.73
• Pay Range Maximum: $37.14
• Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
• The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.