Job Description
Remote position.
Principal Duties and Responsibilities:
• Review clinical documentation in order to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system
• Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines
• Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed
• May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc.
• Provides coding feedback to providers, clinical department leadership, and revenue cycle team
• Assist coding educators with education regarding documentation improvement
• Escalate coding and documentation issues to revenue cycle leadership, and assist facilitating corrective action plans
• Assists with design and implementation of workflow updates and coding tools
• Support denial team on coding related denials
• Special projects as assigned
Knowledge, Skills and Abilities:
1. Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) required; Certified Interventional Radiology Cardiovascular Coder (CIRCC) a Plus.
2. In lieu of CPC or CCS-P certification we will consider, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) certification in conjunction with applicable physician coding experience, including evaluation & management (E/M) and surgical coding experience.
3. A minimum of two (3) years of coding experience in Radiology Coding/ Prior experience in an academic institution preferred
4. Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines.
5. Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD10-CM and HCPCS code assignment by passing a department administered coding proficiency test.
6. Demonstrates commitment to continuous learning and performs as a role model to other coding staff.
7. Experience working in a Teaching Hospital setting preferred.
8. Strong communication and organizational skills.
9. Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge, experience in Epic Ambulatory a plus
Per the HM:
"We are transitioning from Solventom to bring the coding for radiology and intervention radiology in-house. This will be a big undertaking as these services have been coded by a vendor for many years. We are looking for a seasoned coder that has in-depth knowledge regarding all kinds of radiology services and IR coding if possible. Radiology experience is a must and certification is a plus."
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