Website Prestige Staffing
Qualifications
- Must live in USA and be open to joining and participating in team meetings during eastern standard time
- Certified Coding Specialist (CCS)
- High School Diploma or GED
- Must pass an advanced coder competency exam with a minimum score of 95% demonstrating proficiency in inpatient
- 5+ years of hospital based coding experience to include complex CPT surgical coding and advanced ICD-10-CM-PCS coding
- Able to pass a drug test and criminal background
- Proficiency of 95% or greater on coding audit reviews, must be maintained for two consecutive quarters for inpatient and/or outpatient coding of all service types
- Advanced knowledge of anatomy & physiology, disease processes, medical terminology, pharmacology, and surgical procedures/techniques
- Ability to multitask, prioritize, and manage time efficiently
- Must possess a high level of accuracy and attention to detail
- Proficient use of electronic health records (EPIC) and encoder systems (3M)
- Proficient in the use of Microsoft Word and Excel
- Knowledge of Microsoft PowerPoint
- Ability to work independently as a remote employee while remaining actively engaged and supportive of the coding team as a whole
- Advanced knowledge of Coding resources and demonstrated proficiency in using the appropriate resources
- Advanced knowledge of billing requirements and the ability to resolve the most complex edits
- In- depth knowledge of coding and charging requirements necessary to resolve billing edits at time of coding
- Ability to audit coding quality and provide feedback on an as needed basis
- As a remote employee must be able to organize work to ensure goals are met
Responsibilities
- Flexible work hours, fully remote with equipment furnished
- This person will have advanced knowledge of ICD-10 CM-PCS and CPT coding guidelines and is fully competent to independently code the most complex inpatient and or outpatient service types and resolve any associated edits
- Responsible for responding to coding related questions from other departments and for assisting in reviewing and responding to denials
- Effective written and verbal communication skills
- Reviews work queue assignments and prioritizes work by date, charges and payors to meet revenue cycle goals
- Assigns and sequences diagnosis and procedure codes using appropriate classification systems and official coding guidelines to insure that DRG (Diagnosis-related group) or APC (Ambulatory Payment Classification) assignment is correct
- Codes inpatient (IP), same day surgery (SDC), observation (OBS), emergency department (ED), recurring (RCR), and clinical (CLI) records, including the assignment of ICD-10-CM, Procedure Categories, modifiers (when applicable) and HCPCS/CPT codes across multiple facilities and possible E/M levels
- Reviews documentation and possibly charges to correctly assign outpatient procedure codes (ED Only)
- Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
- Initiates physician query in compliance with Company policy when appropriate
- Reassign accounts with missing or incomplete documentation/charges to appropriate work queues
- Correctly abstracts discharge disposition, performing physician, and procedure dates
- Corrects discharge disposition based on payer requirements
- Works with revenue cycle to resolve issues related to billing
- Identifies and escalates any obstacles to fulfilling job responsibilities
- Must maintain coding certification, continue to work towards knowledge base growth by cross-training to learn other patient types and attend in-service training as required
- Attends and actively participates in huddles/meetings/committees as required and appropriate
To apply for this job please visit www.linkedin.com.