Certified Coder-ProFee I
Description
Wage Range: $26.25 - $42.00 per hour
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.
Laboratory coding skills and Medicare policy expertise preferred.
Kirkland, WA Campus - Remote position if WA state resident
Kirkland, WA Campus - Remote position if WA state resident
Job Summary:
Abstracts, analyzes, and assigns ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M), minor procedures, and diagnostic tests by using either computerized or manual systems. Researches and resolves coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding and billing practices. Effectively communicates with clinicians and billing/coding teams regarding code changes and denials. Maintains department defined quality and productivity standards.
Abstracts, analyzes, and assigns ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M), minor procedures, and diagnostic tests by using either computerized or manual systems. Researches and resolves coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding and billing practices. Effectively communicates with clinicians and billing/coding teams regarding code changes and denials. Maintains department defined quality and productivity standards.
Primary Duties:
1. Abstracts, analyzes, and assigns CPT, HCPCS and ICD-10-CM codes for professional services based on documentation in the medical record. Code assignment is primarily for E/M, minor procedures and diagnostic tests and based on industry standards and EvergreenHealth policies.
2. Meets department productivity and accuracy standards.
3. Promotes a positive working relationship by effectively communicating with clinicians and other support staff regarding changes in the provider’s CPT code selection.
4. Evaluates patient coding inquiries to determine coding accuracy based on documentation in the patient’s medical record.
5. Evaluates and researches coding denials from payers to determine the appropriate action and drafts appeal letters for Denial Management.
6. Identifies and reports trends of code changes, payer denials, missed revenue opportunities and/or compliance risks to the Professional Coding Supervisor.
7. Identifies and communicates documentation improvement opportunities to Professional Coding Supervisor.
8. Performs other duties as assigned.
1. Abstracts, analyzes, and assigns CPT, HCPCS and ICD-10-CM codes for professional services based on documentation in the medical record. Code assignment is primarily for E/M, minor procedures and diagnostic tests and based on industry standards and EvergreenHealth policies.
2. Meets department productivity and accuracy standards.
3. Promotes a positive working relationship by effectively communicating with clinicians and other support staff regarding changes in the provider’s CPT code selection.
4. Evaluates patient coding inquiries to determine coding accuracy based on documentation in the patient’s medical record.
5. Evaluates and researches coding denials from payers to determine the appropriate action and drafts appeal letters for Denial Management.
6. Identifies and reports trends of code changes, payer denials, missed revenue opportunities and/or compliance risks to the Professional Coding Supervisor.
7. Identifies and communicates documentation improvement opportunities to Professional Coding Supervisor.
8. Performs other duties as assigned.
License, Certification, Education or Experience:
REQUIRED for the position:
• High school diploma or G.E.D
• Current professional coding credential: AAPC (Certified Professional Coder [CPC], Certified Coding Associate [CCA], Certified Outpatient Coder [COC]), PMI (Certified Medical Coder [CMC]), or AHIMA (Certified Coding Specialist-Physician [CCS-P], Certified Coding Specialist [CCS], Registered Health Information Administrator [RHIA], Registered Health Information Technician [RHIT])
• Good written and verbal communication skills.
• Satisfactory completion of general coding skills assessment
• Proficient knowledge of medical terminology, ICD-10-CM, CPT, and HCPCS coding conventions.
• Basic understanding of anatomy, physiology and disease processes.
• General understanding of payer billing requirements.
• High school diploma or G.E.D
• Current professional coding credential: AAPC (Certified Professional Coder [CPC], Certified Coding Associate [CCA], Certified Outpatient Coder [COC]), PMI (Certified Medical Coder [CMC]), or AHIMA (Certified Coding Specialist-Physician [CCS-P], Certified Coding Specialist [CCS], Registered Health Information Administrator [RHIA], Registered Health Information Technician [RHIT])
• Good written and verbal communication skills.
• Satisfactory completion of general coding skills assessment
• Proficient knowledge of medical terminology, ICD-10-CM, CPT, and HCPCS coding conventions.
• Basic understanding of anatomy, physiology and disease processes.
• General understanding of payer billing requirements.
DESIRED for the position:
• One year of professional coding experience in a multi-specialty medical group setting
• One year of professional coding experience in a multi-specialty medical group setting
Benefit Information:
Choices that care for you and your family
Choices that care for you and your family
At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.
- Medical, vision and dental insurance
- On-demand virtual health care
- Health Savings Account
- Flexible Spending Account
- Life and disability insurance
- Retirement plans (457(b) and 401(a) with employer contribution)
- Tuition assistance for undergraduate and graduate degrees
- Federal Public Service Loan Forgiveness program
- Paid Time Off/Vacation
- Extended Illness Bank/Sick Leave
- Paid holidays
- Voluntary hospital indemnity insurance
- Voluntary identity theft protection
- Voluntary legal insurance
- Pay in lieu of benefits premium program
- Free parking
- Commuter benefits