Acclara Careers

Description

Job Title:                               Coder II – Specialized Services – In Patient   

Company:                              Tegria Revenue Cycle Management (Tegria RCM)

Department:                          Mid-Cycle Professional Coding Production

Leader:                                  Supervisor, Coding Services

FLSA Status:                         Hourly/Non-Exempt

Work Location:                     Remote within the U.S.  

Travel:                                    No travel required

Compensation:                     $17.00 - $43.00

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OVERVIEW

Under the directions of the Coding Services Supervisor and Manager, 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 codes and procedure codes, and modifiers with a focus on specialized services. Specialized services many include areas such as interventional radiology, cardiothoracic surgery, inpatient/DRG coding, etc.  A coder would need to have proficiency in one of these areas of specialized coding, not necessarily all of them.
• Analyzes documentation to identify any documentation deficiencies which may impact coding
• 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 
• 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. 
• Identify system edits, payer rejection and insurance denial trends for client policy and procedure improvement. 
• Maintains knowledge of the current changes of coding practices by continuing education and reading resource material. 
• Other innovative and progressive duties as assigned
• Must maintain quality and production standards as set forth by the coding department
• Other duties as assigned

 QUALIFICATIONS

• High school diploma or equivalent required.
• 5 years coding experience required in clinic and/or hospital/facility coding, dependent upon the scope of the open position.
• 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, 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