Professional Fee Coder - PRN AS NEEDED

About e4health

At e4health, our vision is to empower better health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning; Our PEOPLE Make the Difference; WE GROW; GSD (Get Stuff Done); and Respectfully Listen, Challenge, & Support Each Other. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our solutions streamline clinical, financial, and health information workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country.

Job Summary

The Professional Fee Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, Evaluation and Management Guidelines, and CMS directives. Performs data entry of required abstracted patient information into the client's information system. Queries physicians when appropriate and interact with Clinical Documentation staff as per account requirements. Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards. Assignments may be for a few days to months, depending on the customer need. Will need to provide schedule availability a month ahead of time.

Essential Duties and Responsibilities

• Assigns appropriate ICD-10-CM, E/M, CPT, HCPCS codes and modifiers to professional fee accounts as per designated workflow
• Abstracts and enters coded data and/or charges for physician statistical and reporting requirements
• May assign/validate professional fee level of service based upon either 95 or 97 Evaluation and Management Guidelines
• Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate
• Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution
• Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts
• Maintains required productivity and quality requirements
• Maintains coding credential requirements

Required Qualifications

• Candidate must possess an approved AHIMA or AAPC coding credential, CCS credential preferred
• Minimum 5 years' coding experience required
• Trauma Level 1 and Academic Teaching facility experience preferred

Key Success Attributes

• Integrity, passion, and ethics are required
• Demonstrates strong collaboration skills
• Has strong analytic and problem-solving abilities and techniques
• Exhibit consistent initiative with strong drive for results and success
• Demonstrate commitment to a team environment
• Demonstrate excellent interpersonal skills
• Well-developed written, verbal, and presentation communication skills including deep listening and attention to detail
• Ability to self-motivate and self-direct
• Possess strong time management and organizational skills
• Commitment and adherence to company Core Values

Core Competencies

• High level of integrity & ethical judgement
• Communication
• Consistency and Reliability Meeting Standards

Benefits

We offer an excellent salary, full benefits package including 401(k) with company match, medical, dental, vision, life, short/long term disability insurance, and PTO policy.

Physical Demands of the Essential Functions

• This role requires prolonged periods of desk working on a computer
• Talking, hearing, and near vision are required to perform computer-based tasks and virtual communications
• Sensory perception (visual, auditory, and tactile) is essential for computer and phone use

Working Conditions While Performing Essential Functions

This is a remote role; work is performed in a home office environment.