Coding Specialist II- Hospitalist Profee

About the role

We partner with healthcare organizations to deliver revenue cycle improvement services. The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet requirements for billing and reimbursement. This role may validate APC calculations to accurately capture diagnoses and procedures documented in clinical records for hospitals and performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. The Coder may interact with client staff and providers.

Responsibilities

• Select and sequence ICD-10 and/or CPT/HCPCS codes for designated patient types, including but not limited to: Ancillary (Diagnostic)/Recurring, Hospital, Clinic, Physician Pro Fee, Technical Fee, or Evaluation and Management, along with any associated chart capturing.
• Review and analyze facility records to ensure APC assignments and/or Evaluation and Management codes accurately reflect diagnoses and procedures documented in the clinical record.
• Abstract clinical data from records after documentation review to ensure adequacy and appropriateness to support diagnoses, procedures, and discharge disposition.
• Complete assigned work functions utilizing appropriate resources. May act as a resource for client staff regarding data integrity, clarification, and assistance in understanding compliant coding practices, including provider queries.
• Maintain strict patient and provider confidentiality in compliance with all HIPAA guidelines.
• Participate in client and Savista staff meetings, trainings, and conference calls as requested or required.
• Maintain current working knowledge of ICD-10 and/or CPT/HCPCS coding guidelines, government regulations, protocols, and third-party requirements regarding coding and billing.
• Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.

Requirements

• An active AHIMA (American Health Information Association) credential, including but not limited to RHIA, RHIT, CCS, or CCA, or an active AAPC (American Academy of Professional Coders) credential such as COC (formerly CPC-H), CCS-P, or CPC, or a related specialty credential.
• Two years of recent and relevant hands-on coding experience.
• Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, and ICD-10 and CPT/HCPCS code sets.
• Ability to consistently code at a 95% threshold for quality while maintaining client-specific and/or Savista production and quality standards.
• Proficient computer knowledge, including MS Office (Outlook, Word, Excel), with the ability to enter data, sort, and filter Excel files.
• Excellent interpersonal and problem-solving skills with all levels of internal and external customers.
• Must successfully pass a pre-employment skills assessment.

Preferred Qualifications

• Recent and relevant experience in an active production coding environment.
• Associate’s degree in HIM or a healthcare-related field, or a combination of equivalent education and experience.
• Experience using Rcx, Cerner, or NextGen (a plus).

Pay

The salary range for this role is $22.08 - $34.69 per hour. Specific compensation will vary within this range based on factors including geographic location, candidate experience, applicable certifications, and skills.