Facility Coder III – Surgical Specialties
Advocate Aurora Health
full-time
Posted on:
Location Type: Remote
Location: North Carolina • United States
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Salary
💰 $29 - $43 per hour
About the role
- This role will have all responsibilities of coding assistant, coder I and II plus the following: assist with special projects as requested, assists with training other coders as requested, Monitors and responds to accounts in the charge router, charge router messages, CRMs, Compliance and Integrity review requests.
- Adhere to organizational and internal department policies and procedures to ensure efficient work processes.
- Reviews complex medical documentation at a highly skilled and 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 utilizing an EMR and/or Computer Assisted Coding software.
- Serves as subject matter expert in your assigned specialty and actively participate in the Coding meetings as a problem solver.
- Follow up and obtain clarification of inaccurate documentation as appropriate.
- Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics.
- 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 and exceeds departmental quality (95% or more) and productivity standards (100%).
- Achieves productivity expectations to support discharged not final billed (DNFB).
Requirements
- Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)
- Typically requires 5 years of experience in professional coding that includes experiences in professional revenue cycle processes and health information workflows.
- Proficient in Microsoft Office, Word, Excel, and PowerPoint.
- Advanced knowledge and understanding of anatomy, physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology) and is able to apply these sciences to accurately assign codes to cases to include surgical cases.
- Demonstrates knowledge of National Council on Compensation Insurance, Inc (NCCI) edits, and local and national coverage decisions.
- Expert knowledge and experience in ICD-10-CM, CPT, and 3M Encoder.
- Expert knowledge and experience in ICD-10-CM and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Payment Classifications (APC).
- Advanced knowledge of pharmacology indications for drug usage and related adverse reactions.
- Excellent communication and reading comprehension skills.
- Demonstrated analytical aptitude, with a high attention to detail and accuracy.
- Experienced with remote workforce operations required.
- Strong sense of ethics.
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-CMCPTHCPCS3M Encodermedical codinganatomyphysiologymedical terminologypathophysiologyG-codes
Soft Skills
communicationanalytical aptitudeattention to detailethical judgmentproblem solvingtrainingcollaborationconfidentialityadaptabilityleadership
Certifications
AAPC certificationAHIMA certification