Coder I, (Hospital Billing/Inpatient Coding) Revenue Integrity/Coding, Fully Remote

Responsibilities

• Reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement.
• Assigns and sequences ICD-10-CM/CPT codes by applying regulatory coding guidelines.
• Applies advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books.
• Follows appropriate guidelines and policies to code accurately from physician documentation within the medical record.
• Queries physicians for diagnoses or missing/ambiguous information for accurate coding.
• Applies knowledge of coding and Prospective Payment System and Medical Necessity guidelines for ethical and optimal reimbursement.
• Accurately codes and abstracts all 23-hour observations, same day surgery, emergency room and/or clinic records in a consistent, accurate and timely manner.
• Follows established policies and procedures for coding and of the department.
• Maintains coding standards per discipline.
• Works as a team member to meet organizational financial goals.

Qualifications

• One year hospital coding in healthcare setting
• One of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT
• One year coding in an acute care setting
• Diploma