Outpatient Professional Fee Coder, Family Practice, Assisted Living, Nursing Home Visits

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🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $22 - $35 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

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Southern Illinois Healthcare

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🧘 Wellness

🤝 Non-profit

Healthcare • Wellness • Non-profit

Southern Illinois Healthcare is a healthcare organization dedicated to providing high-quality medical services to the community of Southern Illinois. It offers a wide range of services including cancer care, cardiovascular care, urgent care, and mental health services, while also focusing on community health initiatives and employee recognition. The organization aims to improve patient care and enhance health outcomes in the region through its various facilities and programs.

📋 Description

• Review provider documentation and revise and/or assign ICD-10-CM and CPT/HCPCS codes according to official coding guidelines • Research and take appropriate action on coding and claim edits • Code provider-based E&M level visits or outpatient hospital-based ancillary visits • Follow coding policies, procedures, and standard operating procedures • Use encoding software and reference materials to assign appropriate codes • Review and accept or revise provider-driven code selections based on documentation and coding guidelines • Assign appropriate codes for non-provider-driven coding based on provider documentation and coding guidelines • Review coding edits and resolve them accurately so encounters can be sent to claims • Send clear communications to providers through in-basket messages or queries when additional information is needed • Communicate documentation, coding, or system issues affecting quality, compliance, or productivity to the Coding Lead/Supervisor/Manager • Perform work queue duties assigned by the Coding Lead/Supervisor/Manager • Maintain coding quality and productivity standards • Participate in performance improvement initiatives, department meetings, and other required meetings • Maintain required CEUs

🎯 Requirements

• High School Diploma required • RHIA, RHIT, CCS, CCS-P, CCA, or CPC required • For CCS-P, CCA, or CPC: 1 year (2,000 continuous working hours) of experience required • Ability to review provider documentation and assign or revise ICD-10-CM, CPT, and HCPCS codes according to official coding guidelines • Ability to research and resolve coding and claim edits • Ability to effectively use encoding software and reference materials • Ability to maintain coding quality and productivity standards • Ability to maintain required CEUs • Associate or Bachelor Degree in Health Information or a healthcare-related discipline preferred

🏖️ Benefits

• Rich opportunities to develop and grow professionally • Environment of excellence in patient care • Tobacco-free SIH and SIH Medical Group campuses • Benefits plan information available via the SIH Benefits Guide