Health Coder III

This is a remote position.

Description:

Assigns ICD-10-CM, and CPT and HCPCS codes and effectively abstracts information from IR/Vascular or Radiation Oncology accounts. Ensures coding meets the Standards of Ethical Coding. Keeps abreast of coding guidelines and reimbursement reporting requirements, raising concerns as appropriate. Ensures uncoded and unbilled accounts are maintained at acceptable levels. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Maintain minimum accuracy rate of 95% while meeting internal productivity standards. 90%

Provides updates to Radiology/Vascular or Radiation Oncology Department and Physicians regarding code changes or carrier updates, identified trends or concerns to ensure accurate claims submission and timely responses or action as appropriate. 10%

Required Qualifications:

Ability to establish & maintain effective working relationships across the Health System

Ability to maintain a work pace appropriate to the workload

Must demonstrate customer service skills appropriate to the job

Excellent written and verbal communication skills in English

Knowledge of ICD-10 CM, CPT, HCPC and Modifiers coding conventions

Credentialed as CCS or CPC and CIRCC for IR/Vascular or ROCC for Radiation Oncology coder with at least 5 year’s experience in this area

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

Knowledge of anatomy and physiology, disease process and medical terminology

Preferred Qualifications:

Coding and billing experience in an academic setting

Professional and Hospital Coding experience