Multispeciality Profee Coder

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 various patient types, ensuring compliance with hospital data or physician data retrieval for billing and reimbursement purposes.

• Validate APC calculations to effectively capture the diagnoses and procedures documented within the clinical records for hospitals.

• Conduct documentation reviews and assessments to accurately abstract clinical data, adhering to regulatory and compliance standards.

• Collaborate with client staff and healthcare providers.

• Select and sequence ICD-10 and/or CPT/HCPCS codes for specified patient types, which may include but are not limited to: Ancillary (Diagnostic)/Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee; or Evaluation and Management.

• Analyze facility records to verify that APC assignments and/or Evaluation and Management codes correctly represent the diagnoses and procedures documented in the clinical records.

• Abstract clinical data from the records post-documentation review to ensure adequacy and appropriateness in supporting diagnoses, procedures, and discharge disposition.

• Complete designated work functions utilizing the appropriate resources.

• May serve as a point of contact for client staff regarding data integrity, clarifications, and assistance in understanding and identifying compliant coding practices, including provider queries.

• Uphold strict confidentiality for patients and providers in accordance with all HIPAA guidelines.

• Engage in client and Savista staff meetings, training sessions, and conference calls as requested or required.

• Maintain up-to-date knowledge of ICD-10 and/or CPT/HCPCS coding guidelines, government regulations, protocols, and third-party coding and billing requirements.

• Participate in continuing education activities to enhance knowledge, skills, and uphold current credentials.

⛳️ Requirements

• Possession of an active AHIMA (American Health Information Association) credential, such as RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credential like COC (formerly CPC-H), CCS-P, CPC, or a related specialty credential.

• A minimum of two years of recent and relevant hands-on coding experience.

• Familiarity with medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as the ICD-10 and CPT/HCPCS code sets.

• Capability to consistently code at a 95% quality threshold while adhering to client-specific and/or Savista production and quality standards.

• Proficient in using computers, including MS Office, with the ability to enter data, sort, and filter Excel files (Outlook, Word, Excel).

• Demonstrated excellent interpersonal and problem-solving skills with all levels of internal and external stakeholders.

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

• An Associate's degree in Health Information Management (HIM) or a healthcare-related field, or a combination of equivalent education and experience.

• Experience with RCX, Cerner, and Nextgen is a plus.

🏝️ Benefits

• Competitive salary with performance-based incentives.

• Comprehensive health benefits package.

• Opportunities for professional development and continuing education.

• Flexible work schedule with potential for remote work options.

• Supportive work environment with a focus on work-life balance.