Coder WFH

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.

About the role

The Coder WFH with Physician Services reviews and codes designated office/hospital notes for one or multiple practices and resolves complex coding scenarios. The Coder WFH provides feedback and documentation advice to the physician, non-physician practitioner, and practice management and works with AR to resolve coding-related denials. While this role is Work from Home, candidates must be in the Kansas or Missouri area to round with the practices and meet as needed.

Responsibilities

• Receives and reviews charge documents from the clinic and/or hospital. Ensures charge information provided is correct and accurate.
• Abstracts CPT-4, HCPCS II, and ICD-9-CM/ICD-10-CM from medical records.
• Keeps supervisor apprised of matters regarding charge entry.
• Performs charge entry into the billing system in a timely manner.
• Works in conjunction with the A/R team on follow-up and resolution of coding-related denials and rejections.
• Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-9/ICD-10 materials, the Federal Register, and other pertinent materials.
• Enhances professional growth and development through in-service meetings, educational programs, conferences, etc.
• Tracks denial patterns to address systemic issues.
• Available to assist and direct the practice or other appropriate staff regarding documentation, billing, coding, and reimbursement issues.
• Performs related work and projects as required.
• Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement.”
• Maintains strictest confidentiality.
• Meets designated productivity and accuracy rate of 95%.

Requirements

• One year of coding and/or billing experience in a healthcare environment.
• Must have one of the following certifications:
  • COC (Certified Outpatient Coder), or
  • CCS (Certified Coding Specialist), or
  • CPC (Certified Professional Coder), or
  • RHIA (Registered Health Information Administrator).

Qualifications

Knowledge of medical terminology and anatomy and physiology is preferred.