ProFee Coding Specialist II

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

📋 Description

• Accountable for the precise and prompt coding of moderately complex encounters in accordance with established coding, CMS regulations, and hospital protocols.

• Properly codes diagnostic and procedural information adhering to official coding guidelines, facility-specific guidelines, and federal regulations.

• Reviews moderately complex medical records to determine the sequence, coding diagnoses, and procedures following established coding standards, CMS, and hospital protocols.

• Responsible for accurately coding same-day surgery, observation, ancillary, ED encounters, and/or professional services within the hospital.

• Ensures optimal assignment of CPT, ASC, APC, and APG as applicable.

• Possesses understanding and ability to address coding-specific edits, including CCI, LCD, NCD, and MUE.

• Supports the Outpatient Clinical Documentation Improvement program.

• Maintains productivity and quality rates in alignment with established standards.

• Operates within UH Billing timelines.

• Keeps coding knowledge and skills current through written coding resources, clinical information, and educational webinars.

• Stays informed on guidelines and regulations impacting the UHHS Coding Department.

• Maintains up-to-date credentials.

• Adheres to the Standards of Ethical Coding as outlined by the American Health Information Management Association (AHIMA).

⛳️ Requirements

• Education equivalent to High School / GED (Required)

• Associate's Degree in Health Information Management (HIM) preferred, or Bachelor's Degree preferred.

• Minimum of 2 years of experience in ICD-10 CM, PCS, and/or CPT coding (Required)

• Proficiency in medical terminology, anatomy/physiology, pathophysiology, and pharmacology (Required proficiency)

• Detail-oriented and organized, possessing strong analytical and problem-solving skills (Required proficiency)

• Self-motivated with the ability to work independently as well as collaboratively in a fast-paced environment (Required proficiency)

• Excellent written and verbal communication abilities (Required proficiency)

• Proven capability to utilize PCs, Microsoft Office suite, and general office equipment (e.g., printers, copy machines, FAX machines, etc.). Must competently navigate multiple systems (Required proficiency)

• Licenses and Certifications: Certified Professional Coder (CPC) (Required Upon Hire) or Certified Coding Specialist (CCS) (Required Upon Hire) or Registered Health Information Technologist (RHIT) (Required Upon Hire) or Registered Health Information Administrator (RHIA) (Required Upon Hire) or Certified Coding Associate (CCA) (Required Upon Hire) or Radiology Coding Certification (RCC) (Required Upon Hire) or Radiation Oncology Certified Coder (ROCC) (Required Upon Hire) or Certified Hematology and Oncology Coder (CHONC) (Required Upon Hire)

🏝️ Benefits

• $5,000 Sign-on Bonus for candidates with coding experience