Coder II, Interventional Radiology
SSM Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Illinois, Montana, Oklahoma, Wisconsin • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Accurately deciphers charge error reasons and plans follow-up steps.
- Identifies all billable services through review of all applicable data sources, including but not limited to: electronic health record, inpatient admit, discharge and transfer (ADT) reports, operative logs, nursing home visit documentation, procedure reports generated from non-the electronic health record systems, etc.
- Reviews medical record documentation in the electronic health record and/or on paper.
- Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record.
- Identifies need for medical records from outside the organization and follows established procedures to obtain.
- Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines.
- Consults with physicians/ providers as needed to clarify any documentation in the record that is inadequate, ambiguous, or unclear for coding purposes.
- Provides education around documentation improvement for maximum patient care.
- Assists physicians/providers with questions regarding coding and documentation guidelines.
- Provides ongoing feedback based on observations from coding physician/provider documentation.
- Identifies opportunities for education and communicates trends to lead.
- Reviews and resolves charge sessions that fail charge review edits, claim edits, and follow up denials.
- Works to improve billing based on findings/resolution of errors.
- Trains and mentors coding staff to effectively perform their job responsibilities following current coding policies and procedures.
- Assists coders with medical terminology, disease processes and complex surgical techniques.
Requirements
- Ideal candidate has experience with E/M and Interventional Radiology or Vascular Surgery coding
- High school diploma or equivalent
- Two years' experience
- Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA)
- Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Assoc (AHIMA)
- Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC)
- Certified Professional Coder (CPC®) - American Academy of Professional Coders (AAPC)
- Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA)
- Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA)
- Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC)
- Certified Coding Specialist (CCS) - American Health Information Management Assoc (AHIMA)
Benefits
- Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
- Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
- Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
CPT-4 codingICD-10 codingE/M codingInterventional Radiology codingVascular Surgery codingmedical terminologycharge error analysisdocumentation improvementbilling resolutioncoding policies and procedures
Soft skills
communicationeducationmentoringfeedbackproblem-solvingattention to detailcollaborationorganizational skillsclarificationtrend analysis
Certifications
Certified Coding Associate (CCA)Certified Coding Specialist - Physician-based (CCS-P)Certified Outpatient Coder (COC)Certified Professional Coder (CPC®)Registered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)Certified Professional Coder Apprentice (CPC-A)Certified Coding Specialist (CCS)