Coder Ii - Pro-Fee Obgyn

Job Title: Coder II - Pro-fee OBGYN

Company: Acclara

Department: Professional Coding Production

Leader: Supervisor, Coding Services

FLSA Status: Hourly/Non-Exempt

Work Location: This position is remote within the U.S.

Travel: No travel required

Compensation: $15.00 - $35.00

OVERVIEW

Under the directions of the Coding Services Supervisor, this position will be responsible for CPT and ICD-10 coding and ensuring accuracy and maximum reimbursement.

Responsibilities include:

• Analyzes documentation to identify any documentation deficiencies which may impact coding and provides resources that support coding guidance.
• Enter coded charges into various host systems for claim billing purposes
• Ability to complete coding assignments for multiple specialties
• Maintains knowledge of the current changes of coding practices by continuing education and reading resource material
• Must maintain quality and production standards as set forth by the coding department
• Identify system edits, payer rejection and insurance denial trends for client policy and process improvement initiatives
• Researches and resolves coding related system edits, payer rejections and insurance denials and/or provides resources to substantiate coding related payor appeals
• Other duties as assigned
• Review and evaluate patient medical records to accurately assign diagnosis and procedure codes, and modifiers with a focus on professional/hospital/facility coding
• Monitors regulatory and payer changes as they apply to diagnostic and procedure coding
• Performs coding functions in the clinic and/or hospital setting
• Contacts clients and/or submits compliant queries, as appropriate, when documentation in the medical record is inadequate, ambiguous, or unclear for coding purposes

QUALIFICATIONS

• Must be highly organized and detail-oriented
• Cooperates fully in all risk management and compliance activities and investigations for QM purposes.
• Nationally recognized coding credential including, but not limited to CPC, COC, CCS, CCS-P, RHIA or RHIT through AHIMA/AAPC. For Cardiology: CIRCC certification a plus.
• Ability to work under general supervision
• Possess excellent telephone etiquette, presentation skills and problem resolution skills
• High school diploma or equivalent
• Computer skills including Microsoft Office Suite
• Understanding of ICD-10, CPT (including E/M leveling), HCPCS, modifiers, medical terminology, and anatomy & physiology
• Ability to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information
• 2+ years coding experience required in clinic and/or professional coding.
• Possess strong written and verbal communication skills to communicate effectively with stakeholders at all levels of the organization
• Understands fully the requirements to meet HIPPA regulations. Must treat all patient information and data with complete confidentiality and take all precautions to secure this information

Physical Requirements:

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Listed below are the physical requirements required while performing the duties of this job.

• The employee must have the specific vision ability to complete close vision requirements due to computer work
• The employee is regularly required to: stand; sit; talk; hear; use hands and fingers to operate a computer and telephone keyboard; and reach, stoop and/or kneel to install computer equipment
• The employee is required to be able to complete light to moderate lifting

Our Commitment to Diversity, Equity, and Inclusion

We welcome and respect the variety of experiences, viewpoints, and cultural backgrounds that everyone brings to our workplace. Acclara makes every effort to promote a workplace where leaders model inclusive behaviors and individuals feel respected, valued, and empowered. Together, we promote and sustain an inclusive workplace where people feel a sense of belonging.