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3+ years
Not Disclosed
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.