Coding Specialist II – Oncology Profee

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Savista

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1994

⚕️ Healthcare Insurance

Healthcare Insurance

Savista is a full-service revenue cycle management provider with over 30 years of experience in the healthcare industry. They support healthcare organizations in improving financial outcomes by offering services such as AR management, denial management, clinical documentation integrity, eligibility & enrollment, and HIM outsourcing. Savista works as an extension of healthcare teams to optimize processes and increase efficiency to ensure compliance and drive patient-centered service quality. The company has garnered recognition and industry accolades for its effective and quality solutions.

📋 Description

• The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. • Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. • The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. • Coder I may interact with client staff and providers. • Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type. • Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record. • Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected. • Complete assigned work functions utilizing appropriate resources. • May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries. • Maintain strict patient and provider confidentiality in compliance with all HIPPA Guidelines. • Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required. • Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing. • Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.

🎯 Requirements

• Candidates must successfully pass pre-employment skills assessment. • Required: An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential. • Two years of recent and relevant hands-on coding experience. • Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets. • Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards. • Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files, (Outlook, Word, Excel).