Key Facts

Remote From:

Full time

English

Hard Skills

ICD 503 Cppunit Medical Record Management Code Analysis Clinical Data Management Anatomy Medical Abbreviations Procedure Codes Regulatory Compliance Reimbursement Regulations Program Standards Access Modifiers Diagnosis Codes Clinical Documentation Anatomy Medical Abbreviations

Other Skills

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Team Leadership
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Communication
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Analytical Skills
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Multitasking
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Time Management
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Organizational Skills
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Detail Oriented
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Self-Motivation
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Problem Solving

Roles & Responsibilities

Associate degree in Health Information Technology or certification in Coding required.
Knowledge of ICD-10-CM diagnosis, CPT, and HCPCS coding schemes; coursework in ICD/CPT/HCPCS and medical terminology or anatomy/physiology preferred.
Certifications required: RHIA, RHIT, CPC, CPC-A, CCS, CCS-P, CCS-H, or COC; if not certified at hire, certification must be obtained within one year.
Strong computer skills with ability to interpret, analyze and abstract data; excellent problem-solving, time management, and independent work capabilities; effective communication with medical professionals.

Requirements:

Review medical documentation from physicians and other providers; assign modifiers, ICD-10-CM/HCPCS/CPT codes; ensure compliance with coding standards, regulations, and company procedures.
Support Medicare and Commercial carrier workflows related to daily coding, denial review, and appeals management, including preparing supporting documents for appeals.
Monitor and validate physician charge capture; review and audit medical records to substantiate appropriate service reimbursement; convey coding guidelines to physicians to improve documentation.
Participate in coding team meetings as a subject matter expert and provide accurate ICD-10-CM, CPT, HCPCS coding guidance to medical staff.

Good Samaritan Society

About Good Samaritan Society

The Evangelical Lutheran Good Samaritan Society is the largest not-for-profit provider of senior care and services in the United States. More than 27,000 people of all beliefs and faiths call us home. Locations: Arizona, Arkansas, Colorado, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Minnesota, Montana, Nebraska, New Mexico, North Dakota, Ohio, Oregon, South Dakota, Tennessee, Texas, Washington, West Virginia and Wisconsin. The Society’s mission is based in love. In fact, love is the motivation behind the care we provide. In recent months, we’ve begun to challenge ourselves to go the extra mile in finding new ways to share Christ’s love with the people around us. We’re highlighting eight profound traits that Jesus showed us. In addition to love, the traits are compassion, acceptance, joy, humility, honesty, courage and perseverance. The Good Samaritan Society Way is the name we have given this emphasis. It’s a new way of talking about sharing God’s love. But it’s an extension of what we’ve always done and how we’ve always loved the people in our care. We’re accepting this challenge to bring these eight traits of Jesus into our daily work and relationships. Connect with us! Careers: www.good-sam.com/careers Notice of Nondiscrimination and Accessibility Requirements: https://www.good-sam.com/assets/uploads/general/16-G1099_RSV3931_PST_AH_ForWeb_OUTLINES3.pdf

Company type: XLarge

Founded: 2018

Company size: 10001

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Job description

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Work Shift:

Day (United States of America)

Scheduled Weekly Hours:

Salary Range: $19.00 - $30.50

Union Position:

Department Details

Our Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures.
The position requires strong problem-solving skills, effective communication with medical professionals to improve documentation accuracy and the ability to work independently,
We offer flexible hours and the ability to work remotely.

Pay starts at $19.00/hr with additional credit given for work experience relative to this role.

Summary

Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports both technical and professional services in provider clinic as well as Ambulatory Surgery Centers (ASC) and in addition hospital professional services. Maintains a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role.

Job Description

Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting documents and information to support the appeal process. Monitors and validates physician charge capture. Self-motivated with the ability to work independently, multi-task, problem solve and make informed and accurate recommendations to medical professionals based on current information. Participates in coding team meetings and serves as a subject matter expert. Reviews medical documentation from physicians and other healthcare providers; assigns modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Uses relevant policies, procedures, and individual judgment to determine whether events or processes comply with laws, regulations, or standards. Provide accurate and timely international classification of disease – tenth edition – clinical modification (ICD-10) - CM coding of diagnoses, Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) coding, and in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. Review and audit medical record documentation accurately to reflect healthcare coding and to substantiate appropriate service reimbursement. Conveying coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation. Computer skills, the ability to interpret, analyze and abstract data/documentation, have good problem-solving skills, be self-motivated and have good time management and organizational skills.

Qualifications

Associate degree in Health Information Technology or Certification in Coding required.

Specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in International Statistical Classification of Diseases (ICD) diagnosis, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding schemes, medical terminology or human anatomy/physiology is preferred.

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required. If the associate is not certified at hire, the associate must be so within one year of the date of hire.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.