Description

SPECIALTY SCOPE FOR THIS CODER II POSITION TO INCLUDE BUT NOT LIMITED TO:

Upper Extremity:
• Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair
• Elbows: Cubital tunnel release, Bursectomy, Arthroplasty
• Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment)
• Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations

Lower Extremity:
• Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy
• Pelvis: Fracture repairs
• Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs
• Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy
• Tibia/Fibula: Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain

WORK MODEL/SALARY

Days: Monday - Friday

Hours: 8hrs a day, 80hrs a pay period

100% Remote

The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.

JOB SUMMARY

• The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding.
• The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery.
• For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties.
• Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.
• Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.)
• The Coder 2 will abstract and enter required data.

ESSENTIAL FUNCTIONS OF THE ROLE

• Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
• Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
• Communicates with providers for missing documentation elements and offers guidance and education when needed.
• Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
• Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
• Reviews and edits charges.

KEY SUCCESS FACTORS

• Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
• Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
• Sound knowledge of anatomy, physiology, and medical terminology.
• Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
• Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
• Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
• Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.

Must have one of the following Certifications:

• Registered Health Information Administrator (RHIA)
• Registered Health Information Technologist (RHIT)
• Certified Coding Specialist (CCS)
• Certified Coding Specialist Physician-based (CCS-P)
• Certified Professional Coder (CPC)
• Certified Outpatient Coder (COC)
• Certified Inpatient Coder (CIC)
• Certified Interventional Radiology Cardiovascular Coder (CIRCC)

BENEFITS

Our competitive benefits package includes the following:

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

MQUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent
• EXPERIENCE - 2 Years of Experience
• CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed:
  • Cert Coding Specialist (CCS)
  • Cert Coding Specialist-Physician (CCS-P)
  • Cert Inpatient Coder (CIC)
  • Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
  • Cert Professional Coder (CPC)
  • Reg Health Info Administrator (RHIA)
  • Reg Health Information Technician (RHIT).