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Part -Time Coding Advocate

Role overview

Qualifications

  • 2 year degree or equivalent experience; AHIMA or AAPC certification required
  • Active credentials: RHIA, RHIT, CCS, CPC, or COC
  • Surgical experience with ortho/OBS; experience with device codes is a plus
  • Meets or exceeds Quality and Productivity standards

Responsibilities

  • Inpatient coding: accurately assign ICD-10-CM and PCS primary and secondary codes and ensure correct DRG assignment following site guidelines
  • Outpatient and outpatient surgery coding: assign modifiers to chargemaster items and CPT codes for outpatient procedures consistent with client contracts and documentation
  • Emergency Room coding: accurately assign diagnosis codes, determine facility and/or professional levels, and code infusion and injection CPT codes
  • Quality/compliance and customer service: create compliant physician queries, review claims for medical necessity, update problem lists, assign present-on-admission indicators, and provide excellent service across multiple sites

About the company

CPSI logo

CPSI

CPSI is a leading provider of healthcare solutions and services for community hospitals, their clinics and post-acute care facilities. Founded in 1979, CPSI is the parent of four companies – Evident, LLC, American HealthTech, Inc., TruBridge, LLC, TruCode, LLC, and iNetXperts, Corp. d/b/a Get Real Health. Our combined companies are focused on helping improve the health of the communities we serve, connecting communities for a better patient care experience, and improving the financial operations of our customers. Evident provides comprehensive EHR solutions for community hospitals and their affiliated clinics. American HealthTech is one of the nation’s largest providers of EHR solutions and services for post-acute care facilities. TruBridge focuses on providing business, consulting and managed IT services, along with its complete RCM solution, for all care settings. Get Real Health focuses on solutions aimed at improving patient engagement for individuals and healthcare providers. TruCode provides medical coding software that enables complete and accurate code assignment for optimal reimbursement. For more information, visit www.cpsi.com.

Company details

Company typeLarge
Company size1001 - 5000

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Job description

Job Summary:

The Coding Advocate will handle medical coding and data entry / abstraction for various types of Hospital visits: Inpatient, Outpatient, Ambulatory, Surgery, Emergency and Special Procedures.

Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

  • Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies.  Accurate assignment of the DRG.

  • Outpatient: Correctly assigns modifiers to chargemaster items and coder assigned CPT codes as applicable to outpatient coding, as appropriate.

  • Outpatient Surgery: Correctly assigns CPT codes to outpatient procedures consistent with client contract and documentation in the record.

  • Emergency Room: Correctly assign diagnosis codes, assign appropriate E&M facility and/or profee levels, assign infusion and injection CPT codes.

  • Ability to create compliant physician queries.

  • Accurately review claims for medical necessity.

  • Update problem lists consistent with client contract.

  • Correctly assign present on admission indicators.

  • Ability to provide excellent customer service to our clients and teammates.

  • Consistently demonstrates an excellent attitude, and works to strengthen the team as a whole.

  • Floats between multiple sites, and coding specialties with ease and flexibility.

Minimum Requirements:

Education/Experience/Certification Requirements

  • 2 year degree or equivalent experience; AHIMA or AAPC certification required

  • Actively holds one or more of the following credentials: RHIA, RHIT, CCS, CPC, COC

  • Surgical with ortho experience/OBS. Experience with device codes a plus.

  • Meets or exceeds Quality and Productivity standards.

  • Excellent communication (written and oral) and interpersonal skills.

  • Strong organizational, multi-tasking, and time-management skills.

  • Must be detail oriented and able to follow through on issues to resolution.

  • Must be able to act both independently, and as a team member.

  • Excellent communication (written and oral) and interpersonal skills.

  • Strong organizational, multi-tasking, and time-management skills.

  • Must be detail oriented and able to follow through on issues to resolution.

  • Must be able to act both independently and as a team member.

Preferred Qualifications:

  • 2+ years of coding experience in multiple patient types

  • Experience coding and charging injections and infusions

Why join our team?

  • Work remotely with a work/life balance approach

  • Robust benefits offering, including 401(k)

  • Generous time off allotments

  • 10 paid holidays annually

  • Employer-paid short term disability and life insurance

  • Paid Parental Leave

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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