Acclara Careers

Description

Job Title:                                Coder II – Pro Fee

Company:                              Tegria Revenue Cycle Management (Tegria RCM)

Department:                           Mid Cycle

Leader:                                   Supervisor, Coding Services

FLSA Status:                          Hourly/Non-Exempt

Work Location:                      Remote within 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:

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

QUALIFICATIONS

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

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 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 must have the specific vision ability to complete close vision requirements due to computer work
• 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. Tegria RCM 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.