Coder II- ObGyn

About the Role

Collects, reviews, retrieves, and codes Evaluation & Management codes, major procedures (surgical procedures, anesthesia reports, radiology reports/procedures), and other services for Medicine/Surgical practices based on medical documentation and reports for quality assessment, audit, and billing purposes.

Responsibilities

• Performs chart audits, reviewing for accuracy and compliance.
• Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10), procedure codes (CPT), and other items (HCPCS) for final billing.
• Researches and processes invoice corrections.
• Reviews and analyzes coding/billing procedures.
• Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.
• Coordinates and implements reimbursement improvement activities with staff and providers.
• Adheres to WellSpan Coding Compliance Guidelines.
• Maintains job-specific standards and expectations relative to productivity and quality.
• Prepares and maintains appropriate documentation as required.
• Maintains professional growth and development.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Requirements

• High School Diploma or GED required.
• 1 year of relevant experience.

Qualifications

• Certified Professional Coder (CPC) upon hire, or
• Certified Coding Specialist - Physician Based (CCS-P) upon hire, or
• Certified Medical Coder (CMC) upon hire, or
• Certified Professional Coder Apprentice (CPC-A) within 1 year, or
• Certified Outpatient Coder (COC) upon hire, or
• Registered Health Information Technician (RHIT) upon hire, or
• Certified Home Care Coding Specialist - Diagnosis (CHCS-D) upon hire (only required for VNA Home Health Services).
• Knowledge of ICD-10-CM, CPT-4, and HCPCS coding.
• Basic computer skills.

Benefits

• Comprehensive health benefits.
• Retirement savings plan.
• Paid time off (PTO).
• Education assistance.
• Financial education and support, including DailyPay.
• Expanded Paid Parental Leave.

For additional details: Benefits & Incentives | WellSpan Careers.