Coding Specialist II-Profee Orthopedics

About the role

Savista enables healthcare organizations to navigate challenges in quality clinical care, positive patient experiences, and optimal financial results through revenue cycle improvement services. The Pro Fee Coder reviews clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types, meeting hospital or physician data retrieval requirements for billing and reimbursement. Coder I may validate APC calculations, perform documentation review and assessment for accurate abstracting of clinical data, and interact with client staff and providers.

Duties And Responsibilities

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

Required Qualifications

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

Preferred Qualifications

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

Pay

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