Coder Iii

3+ years

Not Disclosed

Dallas

10 Sept. 26, 2024

Job Description

Job Type: Remote Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Coder 3

Job Summary:

The Coder 3 is an experienced professional proficient in high-acuity inpatient coding, all hospital-based outpatient coding, or professional fee services. This role may include specialties such as Cardiac Cath/Electrophysiology (EP), Interventional Radiology (IR) with a CIRCC certification, or expertise across at least eight different subspecialties. The Coder 3 utilizes coding systems including ICD-10-CM, ICD-10-PCS, HCPCS, and CPT to ensure accurate coding and classification assignment (e.g., MS-DRG, APR-DRG, APC). Responsibilities include data abstraction and entry.

Salary:

Pay Range: $28.53 (entry-level) - $42.79 (highly experienced)
Specific rate based on qualifications and prior coding experience.

Essential Functions:

Review and interpret medical record documentation to accurately code diagnoses, procedures, and professional fees.
Generate appropriate coding and billing by reviewing diagnostic and procedure codes within documentation systems.
Communicate with providers regarding missing documentation and offer guidance and education as needed.
Resolve billing issues by identifying and correcting inaccurate charges.
Collaborate with revenue cycle departments to ensure timely and accurate processing of coding and edits.
Review and edit charges for accuracy.

Key Success Factors:

Strong knowledge of relevant rules, regulations, policies, and guidelines impacting coding.
Understanding of transaction code sets, HIPAA requirements, and issues affecting coding and abstraction.
Proficiency in anatomy, physiology, and medical terminology.
Expertise in using computer applications and Correct Coding Initiatives (CCI) edits.
Sound knowledge of ICD-10 and CPT coding.
Ability to interpret health record documentation for accurate code assignment.
Flexibility to balance requirements with non-negotiable regulatory and accreditation guidelines.

Certifications Required:

Must have one of the following certifications:

Registered Health Information Administrator (RHIA)
Registered Health Information Technologist (RHIT)
Certified Coding Specialist (CCS)
Certified Coding Specialist Physician-based (CCS-P)
Certified Professional Coder (CPC)
Certified Outpatient Coder (COC)
Certified Inpatient Coder (CIC)
Certified Interventional Radiology Cardiovascular Coder (CIRCC)

Benefits:

Immediate eligibility for health and welfare benefits
401(k) savings plan with a dollar-for-dollar match up to 5%
Tuition reimbursement
PTO accrual beginning on Day 1

Qualifications:

Education: High School Diploma or GED equivalent
Experience: Minimum of 3 years of coding experience
Certification/License/Registration: One of the certifications listed above is required.

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Coder Iii

Job Description

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