Coder IV – Claim Edits Coder, Medical Coding
Geisinger
full-time
Posted on:
Location Type: Remote
Location: Remote • Pennsylvania • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations.
- Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement.
- Reviews the content of the medical record for hospital and professional inpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with standard provider coding regulations.
- Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded.
- Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines.
Requirements
- Minimum 1 certification required: CPC - Certified Professional Coder AAPC CRC - Certified Risk Adjustment Coder - AAPC RHIT - Registered Health Information Technician - AHIMA CCS - Certified Coding Specialist - AHIMA
- Minimum of 6 years-Relevant experience* (Required)
- High School Diploma or Equivalent (GED)- (Required)
- Communication, Computer Coding, Computer Literacy, Organizing, Teamwork skills.
Benefits
- We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.
- We encourage an atmosphere of collaboration, cooperation and collegiality.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
health information codingdiagnostic codingprocedure codingCPT codingcoding guidelinescoding regulationsmedical record reviewcoding compliancealphanumeric designationsnumeric designations
Soft skills
communicationorganizingteamwork
Certifications
CPC - Certified Professional CoderCRC - Certified Risk Adjustment CoderRHIT - Registered Health Information TechnicianCCS - Certified Coding Specialist