Coder II

This is a fully remote position, open to applicants in Kentucky.

📋 Description

• Abstract and assign accurate CPT, ICD-10, HCPCs, and modifiers to ensure proper reimbursement.

• Recognize compliance issues, trends, and educational opportunities related to coding, documentation, and billing precision.

• Operate independently with minimal supervision and seek guidance on intricate cases.

• Code surgical procedures in accordance with surgical coding standards and accurately apply modifiers.

• Extract service documentation and input appropriate codes into billing systems.

• Identify and communicate any deficiencies that impact the billing process.

• Complete encounters in the coding work queue or reports promptly.

• Review and resolve denial issues.

• Ensure documentation aligns with current EM Guidelines for Providers.

• Maintain compliance with CMS Teaching Physician Rules and UofL Health policies prior to billing.

• Ensure Advanced Practice Provider documentation adheres to payer-specific regulations.

• Provide feedback and recommendations regarding weaknesses noted during coding reviews.

• Report emerging deficiencies to the Senior Manager and Compliance Educator.

• Support the Coder Lead or Supervisor in training and mentoring team members.

• Effectively communicate with providers, practice management, and stakeholders both verbally and in writing.

• Meet or exceed established coding production and quality benchmarks.

• Engage in special projects and fulfill assigned responsibilities.

• Develop regular communication with office managers, departments, and providers.

• Address inquiries from managers, providers, departments, and representatives.

• Uphold coding standards, company policies, HIPAA regulations, confidentiality, safety, and conduct compliance.

• Exhibit customer service skills and collaborate with physicians, patients, residents, visitors, staff, and the wider healthcare community.

⛳️ Requirements

• High school diploma or GED/equivalent (mandatory).

• Minimum of three (3) years of coding experience (mandatory).

• Certified Professional Coder (CPC) credentialed by the American Academy of Professional Coders (AAPC) (mandatory).

• Certified Coding Specialist (CCS) or Certified Coding Specialist Based (CCS-P) certified by the American Health Information Management Association (AHIMA) (mandatory).

• Advanced understanding of medical coding systems, including ICD-10, CPT, HCPC, and IHS coding conventions.

• Knowledge of regulatory changes and coding updates, such as NCCI and MUE edits.

• In-depth understanding of anatomy and physiology, disease processes, and medical terminology.

• Proficient knowledge of official coding conventions and guidelines set by AMA and CMS.

• Capacity to work independently with minimal oversight.

• Strong professional communication abilities.

• Competence in grammar, spelling, punctuation, and writing composition.

• Ability to address practical problems and interpret diverse instructions.

• Proficient in Microsoft applications, Google Chrome, internet navigation, and database management.

• Adaptability to new technologies.

• Ability to collaborate within a team and achieve monthly objectives.

• Adherence to HIPAA privacy and security regulations.

🏝️ Benefits

• Option for remote work or home office setup.

• Full-time employment.