Coding Specialist II – Profee Oncology

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

📋 Description

• Review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient categories.

• Validate APC calculations to ensure accurate representation of documented diagnoses and procedures for hospitals.

• Evaluate and analyze documentation for precise abstraction of clinical data and adherence to regulatory standards.

• Select and order ICD-10 and/or CPT/HCPCS codes for ancillary services, hospital settings, clinic visits, physician professional fees, technical fees, and evaluation and management services.

• Examine facility records to confirm that APC assignments and/or evaluation and management codes align with documented diagnoses and procedures.

• Abstract clinical data to support diagnoses, procedures, and discharge outcomes.

• Act as a resource for client staff on data integrity, clarification, and compliant coding practices, including managing provider queries.

• Uphold patient and provider confidentiality in accordance with HIPAA regulations.

• Stay updated on coding systems, guidelines, regulations, protocols, and third-party requirements.

• Engage in client and staff meetings, training sessions, conference calls, and ongoing education.

⛳️ Requirements

• Successfully complete a pre-employment skills assessment.

• Hold an active AHIMA credential, such as RHIA, RHIT, CCS, CCA, or an active AAPC credential like COC, CCS-P, CPC, or a related specialty credential.

• Possess two years of recent and relevant experience in hands-on coding.

• Have knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets.

• Demonstrate the ability to maintain a 95% coding quality threshold while adhering to client-specific and/or Savista production and/or quality standards.

• Exhibit proficient computer skills, including Microsoft Office, Outlook, Word, and Excel; capable of data entry, sorting, and filtering in Excel files.

• Show excellent interpersonal and problem-solving skills.

• Recent and relevant experience in an active production coding environment is strongly preferred.

• An associate degree in Health Information Management or a healthcare-related field, or equivalent education and experience is preferred.

• Experience with Rcx, Cerner, or NextGen is preferred.

🏝️ Benefits

• Opportunities for continuing education activities to enhance knowledge, skills, and maintain up-to-date credentials.

• Involvement in client and Savista staff meetings, training sessions, and conference calls.

• Equal opportunity employment protections.