Coder, Provider Practice (Psych and Peds)

Facility: Remote ND (Central Time) | Location: Remote, ND | Shift: 8 Hours - Day | Schedule: Full time | Weekly Hours: 40.00

About the role

Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports both technical and professional services in provider clinics as well as Ambulatory Surgery Centers (ASC) and hospital professional services. Maintains a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting documents and information to support the appeal process. Monitors and validates physician charge capture.

Self-motivated with the ability to work independently, multi-task, problem solve, and make informed and accurate recommendations to medical professionals based on current information. Participates in coding team meetings and serves as a subject matter expert.

Responsibilities

• Reviews medical documentation from physicians and other healthcare providers; assigns modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries, and treatments according to official classification systems and standards.
• Uses relevant policies, procedures, and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
• Provides accurate and timely ICD-10-CM coding of diagnoses, HCPCS, and CPT coding in accordance with official coding standards, regulatory coding compliance guidelines, and company procedures.
• Reviews and audits medical record documentation accurately to reflect healthcare coding and to substantiate appropriate service reimbursement.
• Conveys coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation.

Requirements

• Associate degree in Health Information Technology or Certification in Coding required.
• Specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in ICD diagnosis, CPT, and HCPCS coding schemes, medical terminology, or human anatomy/physiology is preferred.
• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), or Certified Outpatient Coder (COC) required.
• If the associate is not certified at hire, the associate must obtain certification within one year of the date of hire.

Skills

• Computer skills, including the ability to interpret, analyze, and abstract data/documentation.
• Good problem-solving skills.
• Self-motivated with strong time management and organizational skills.

Pay

Salary Range: $20.50 - $33.00 per hour

Benefits

Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, benefits may include:

• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• 401(k) retirement plan
• Work/life balance benefits
• Generous time off package to maintain a healthy home-work balance