Certified Hospital Coder Ii Jobs

Provide education to providers on billing and coding guidelines.

2 plus years of outpatient coding experience.

Current Medical Coding Certification through AAPC.

Confirms codes are sequenced correctly ensuring reimbursement is appropriate in accordance with government, insurance, and/or other payer regulations.

Identifies, investigates, and corrects or routes accounts on the coding and billing edit work queues.

Demonstrates ability to abstract code of OP reports and/or any medical record.

Proficient in medical terminology, evaluation and management CPT codes and ICD-10 Coding.

Assist in the coordination of efforts related to increasing provider awareness in documentation requirements and to fully capture all inpatient charges.

Previous coding experience or experience equivalent to an associate’s degree in a related field.

For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/

Apply appropriate coding rules, teaching physician regulations, billing guidelines, and department policies.

Accurately enter tracking codes and documentation information when applicable.

Code and review charges as well as data entry as applicable.

You have good written and spoken communication skills

Two (2) years’ experience in billing/coding for medical practice required.

Medical coding and billing experience with E&M, ancillary and procedure coding in an office or facility setting required.

Knowledge of medical terminology required.

Working knowledge of payer specific guidelines including Medicare rules and regulations required.

Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code.

Assists with efforts to increase physician awareness of documentation requirements.

One year of previous coding experience or experience equivalent to an associate’s degree in a related field.

Working knowledge of medical terminology and related computer systems.

Knowledge of ICD-10 and CPT coding.

For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/

Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code.

Assists with efforts to increase physician awareness of documentation requirements.

Previous coding experience or experience equivalent to an associate’s degree in a related field.

Working knowledge of medical terminology and related computer systems.

Knowledge of ICD-10 and CPT coding.

For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/

You have good written and spoken communication skills

Two (2) years’ experience in billing/coding for medical practice required.

Medical coding and billing experience with E&M, ancillary and procedure coding in an office or facility setting required.

Knowledge of medical terminology required.

Working knowledge of payer specific guidelines including Medicare rules and regulations required.

Demonstrates knowledge and remains current regarding CPT, ICD-10, and HCPCS codes required.

Behavioral Health medical record coding/auditing experience.

Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements.

Experience with researching coding and policies.

Experience working with Microsoft Excel Spreadsheets.

Previous Experience with Kentucky Department of Medicaid Services Payment Policies

Previous work experience with a healthcare insurance company conducting medical record reviews.

Codes evaluation and management services to the appropriate CPT code level. Ensures ICD codes are linked appropriately to services provided.

Previous coding experience or experience equivalent to an associate’s degree in a related field.

Working knowledge of medical terminology and related computer systems.

Knowledge of ICD-10 and CPT coding.

For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/

Responsible for appealing claims denied by third-party payers. Creates appropriate letters and compiles documentation to substantiate the validity of claims.

Must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder);

Knowledge of coding guidelines, payor guidelines, and federal billing guidelines;

Knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training;

Must have CCS and be knowledgeable with 3M/HDS coding application.

knowledge of coding guidelines, payor guidelines, and federal billing guidelines;

knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training;

May provide education and training at the guidance of the Reimbursement Operations Manager.

Certified Coding Specialist-Physician (CCS-P) by the American Health Information Management Association or

Registered Health Information Administrator (RHIA)/ Registered Health Information Technician (RHIT) by the American Health Information Management Association.

Act as knowledge expert to service provider through familiarity with coding conventions.

May include data entry of codes.

Must complete certification within 12 months of employment at UTHSC-H. Monitoring of certification is department’s responsibility.

ESSENTIAL FUNCTIONS AND JOB RESPONSIBILITIES

Audits medical record documentation to identify incorrectly coded services and prepares reports of findings.

Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials and billable services.

Obtains clarification of conflicting, ambiguous, or non-specific documentation.

Analyzes and interprets complex patient medical records to identify and determine amount and nature of billable services, in any clinical area.

Ensures strict confidentiality of financial and medical records.

Maintains knowledge of the current changes of coding practices by continuing education and reading resource material

Cooperates fully in all risk management and compliance activities and investigations for QM purposes.

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

Possess excellent telephone etiquette, presentation skills and problem resolution skills

Computer skills including Microsoft Office Suite

Perform all other duties as assigned by management

Working knowledge of coding requirements

Certified Professional Coder (CPC) Certification.

In lieu of an Associate’s degree, 5 years of experience is required.

Must have excellent expressive and written communication skills.

Provide a variety of complex and technical assignments relating to medical coding.

Requires strong accuracy, attentiveness to detail and time management skills for translating complex medical documentation into diagnostic classification system codes.

This position is 100% remote work. Individual may live anywhere in the US.

Applicants must have a minimum of 3 years of relevant hospital inpatient coding experience.

Ability to work concurrently in a fast-paced environment with identified productivity requirements and with individuals having diverse personalities and work styles.

In-depth knowledge of medical terminology, disease processes, patient health record content and the medical record coding process.

Associate degree required; Bachelor’s Degree preferred.

One (1) year of billing experience (preferred)

CPC Certification within 120 days of hire (required)

Full comprehensive benefits including, health, life, disability, 403(b), CME allowance (specified positions), and more…

We are an employer of choice because we offer:

Complete third-party billing on a daily basis

Work accounts, rebilling third-party payers

Completion of one-year Coding Certification program or equivalent experience in coding, required.

Requires excellent knowledge ICD-9 and CPT-4 coding principles.

Requires good interpersonal skills in order to interact effectively with physicians and reviewers.

Requires knowledge of medical terminology, anatomy and physiology.

Remote Work Schedule: Tuesday - Saturday/Sunday - Thursday/Full Time

.Obtains corresponding pathology reports to ensure accurate coding to support documentation within the record.

Willing to learn new skills along with continuing education

Health/dental/vision insurance, infertility benefits, gender affirmation services

WOOF University – offering abundant CE for team members

The Hospital Manager is the pivot around which the hospital operates and is responsible for:

Following and enforcing safety protocols

Leads a team to continue to grow

Must have a minimum of 3 years’ experience in medical care facility operations management with profit and loss responsibility.

Management feedback reports - bi-weekly.

Organize monthly staff meeting agenda in conjunction with hospital management team and VCA guidelines.

Knowledge of sales and marketing techniques.

Good communication skills, both written and oral, goal oriented.

High School Diploma. Some college education preferred.

Organization and prioritization skills for effective workload and time management. Positive attitude and teamwork approach to all activities.

Basic computer skills including data entry, email, and windows-based software navigation.

Advanced level Medical Terminology. Anatomy, Physiology, and Pharmacology knowledge.

Effective verbal and written communication and strong customer service skills.

Experience with EPIC and 3M Encoder software.

Excellent problem-solving and critical thinking skills.