Coder 3

About the Role

This is a full-time, benefit-eligible position designed for an experienced coding professional with advanced expertise in complex coding. The Coder 3 handles highly complex coding assignments and requires expert-level knowledge of coding guidelines, regulations, and reimbursement practices. This role is clinical or hospital-based, focusing on specialty professional or hospital outpatient accounts, with specialized knowledge in Interventional Radiology and Heart Catheterization.

The ideal candidate will demonstrate strong critical-thinking and research skills, exceptional attention to detail, and the ability to independently resolve complex coding scenarios. A CIRCC (Certified Interventional Radiology Cardiovascular Coder) credential is preferred.

Responsibilities

• Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards.
• Actively participates in creating and implementing workflow improvements.
• Assigns ICD-10-CM, CPT-4, or HCPCS codes to all diagnoses, treatments, and procedures on complex hospital outpatient or clinical department visits.
• Understands the relationship of disease management, medications, and ancillary test results on diagnoses assigned.
• Researches and resolves simple and moderately complex coding issues.
• Proficient in using various coding software and problem-solving simple computer issues.
• Utilizes technical coding principles and/or APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT-4 procedures, including modifiers.
• Extracts required information from the electronic medical record and enters it into coding software and abstracting systems.
• Identifies chargeable items for department visits and enters them into the computer system.
• Follows up on unabstracted accounts to assure timely billing and reimbursement.
• Resolves questions concerning diagnosis, procedures, clinical content of the chart, or code selection through research and communication.
• May query physicians on documentation according to established procedures and guidelines.
• Meets productivity and quality standards as established by coding managers.
• Educates multidisciplinary team members, including physicians, about frequently changing mandated rules, regulations, and guidelines to ensure compliant claims.
• Identifies and resolves clinical documentation and charge capture data discrepancies to improve documentation quality, reimbursement levels, and data integrity.
• Ensures timely and accurate work.
• Contributes to the process of collecting expected payment.
• Understands and adheres to Revenue Cycle’s Escalation Policy.

Requirements

• Completion of an accredited coding certificate program or a Health Information Technician program.
• 2 years of coding experience.
• Outpatient or Professional Fee Coding certification: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist - Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H), Certified Outpatient Coder (COC), or AAPC specialty certifications.

Preferred Qualifications

• Associate of Science in Health Information.
• Bachelor of Science in Health Information.
• 2 years of coding experience with a variety of professional and hospital accounts (e.g., Observation, Surgical outpatients, Interventional Radiology, Heart Catheterization, Professional billing surgical specialty).
• Certified Interventional Radiology Cardiovascular Coding (CIRCC).

Benefits

Fairview offers a generous benefit package including:

• Medical, dental, and vision plans.
• Life insurance, short-term and long-term disability insurance.
• Paid Time Off (PTO) and Sick and Safe Time.
• Tuition reimbursement.
• Retirement plans.
• Early access to earned wages.

For additional information, visit Fairview Benefits.

Pay

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, the organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical.