Coder II – Nephrology
Advocate Aurora Health
full-time
Posted on:
Location Type: Remote
Location: Wisconsin • United States
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Salary
💰 $27 - $40 per hour
About the role
- Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS.
- Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software.
- Adheres to the organization and departmental guidelines, policies and protocols.
- Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes.
- Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
- Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.
- Maintains the confidentiality of patient records.
- Reports any perceived non-compliant practices to the coding leader or compliance officer.
- Meets then exceeds departmental quality and productivity standards.
- Recommend modifications to current policies and procedures as needed to coincide with government regulations.
- Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable
Requirements
- Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)
- Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge)
- Typically requires 3 years of experience in professional coding that includes experiences in either hospital or professional revenue cycle processes and health information workflows.
- Advanced knowledge of ICD, CPT and HCPCS coding guidelines.
- Advanced knowledge of medical terminology, anatomy and physiology.
- Intermediate computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications.
Benefits
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10 CMICD-10 PCSCPTHCPCSmedical codingcoding guidelinescoding claim denialscoding claim rejectionsmedical terminologyanatomy and physiology
Soft Skills
ethical judgmentindependent researchattention to detailcommunicationconfidentialitycomplianceproblem-solvingorganizational skillsquality assuranceproductivity
Certifications
AAPC coding certificationAHIMA coding certification