Coder I Specialist – Office Visit E&M, Rheumatology

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $18 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Franciscan Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1875

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Franciscan Health is a healthcare organization committed to providing high-quality medical care grounded in the Franciscan tradition. They offer a range of medical services, including clinical and allied health, home health and hospice, nursing, physicians and advanced practice providers, and non-clinical and administrative roles. With a focus on embracing the values of St. Francis to care for those in need, they provide a supportive and fulfilling work environment for their employees, emphasizing a mission of compassion and community engagement. Franciscan Health is dedicated to offering a variety of employment opportunities across different medical specialties and locations.

📋 Description

• Review and code electronic medical record documentation for hospitalist rounds and office visits • Apply ICD diagnosis codes, CPT procedure codes, modifiers, hierarchical condition categories, complications, and comorbidities according to coding guidelines • Evaluate diagnosis and procedure codes and modifiers against Outpatient Code Editor and National Correct Coding Initiative edits • Validate that clinical documentation accurately represents the patient's clinical picture, treatment, and diagnoses • Identify missing, nonspecific, or inconsistent documentation and obtain needed documentation • Identify and enter data elements for abstraction • Meet defined coding accuracy and productivity standards • Apply coding guidelines independently using discretion and analytic ability • Support reimbursement, public reporting, quality of care, financial modeling, strategic planning, and marketing activities through accurate coding • Remain current with coding and industry changes through educational opportunities • Notify coding leadership of trends and topics for physician and department education and feedback • Assist with process improvements to improve resource use, reduce costs, and enhance coding services • Follow AHIMA/AAPC Standards of Ethical Coding and official coding guidelines

🎯 Requirements

• High School Diploma/GED required • Associate's Degree in Health Information Management preferred • Bachelor's Degree in Health Information Management preferred • Certified Professional Coder (CPC) – AAPC required, or CPC-A – AAPC required, or CCS – AHIMA required, or CCS-P – AHIMA required, or CCA – AHIMA required • RHIA – AHIMA preferred or RHIT – AHIMA preferred, with certification obtainable within 180 days • Two years of coding experience preferred • Thorough knowledge of professional coding guidelines • Knowledge of medical terminology and anatomy/physiology • Knowledge of payer-specific coding guidelines • Ability to meet defined coding accuracy and productivity standards • Ability to independently apply broad guidelines using discretion and significant analytic ability • Ability to travel never or rarely

🏖️ Benefits

• Comprehensive benefit offerings for eligible employees