HIM Cert Coder IP - CFH
Carle Inclusion Connection Group, Champaign, IL, United States
Overview
The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. The HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. The HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. The HIM coder uses Carle electronic medical record systems to review clinical encounters.
Qualifications
Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC)
Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC)
Certified Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC)
Certified Coding Specialist – Physician-Based (CCS-P) – American Health Information Management Association (AHIMA)
Certified Coding Specialist (CCS) – American Health Information Management Association (AHIMA)
Registered Health Information Technician (RHIT) – American Health Information Management Association (AHIMA)
Registered Health Information Administrator (RHIA) – American Health Information Management Association (AHIMA)
Responsibilities
Accurately code all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCS and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the patient.
Provide interdepartmental coding assistance, as needed, to determine accurate coding assignment.
Develop methodology to provide a coding process that is compliant with regulatory agencies, including utilization of reference materials such as CMS publications, Coding Clinic, CPT Assistant, etc.
Facilitate optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks such as auditing/monitoring, training, facilitation of charges through the claim scrubber system, assistance with patient or payer related charge/account inquiries, and research on coding/billing topics as requested by internal and external sources.
Serve as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties.
Serve as liaison for coding and billing staff to ensure accurate charge capture.
Report any documentation and coding improvement needs based upon review findings.
Maintain coding certification, knowledge and skills to successfully perform job duties.
Perform provider and peer coding audits as requested.
Assist with monitoring of internal controls for coding and billing.
Facilitate external audit activities and reporting to the appropriate administrative personnel.
Carle Health is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. For more information: human.resources@carle.com.
Compensation and Benefits
The compensation range for this position is $23.58 per hour - $39.38 per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered to a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
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The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. The HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. The HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. The HIM coder uses Carle electronic medical record systems to review clinical encounters.
Qualifications
Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC)
Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC)
Certified Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC)
Certified Coding Specialist – Physician-Based (CCS-P) – American Health Information Management Association (AHIMA)
Certified Coding Specialist (CCS) – American Health Information Management Association (AHIMA)
Registered Health Information Technician (RHIT) – American Health Information Management Association (AHIMA)
Registered Health Information Administrator (RHIA) – American Health Information Management Association (AHIMA)
Responsibilities
Accurately code all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCS and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the patient.
Provide interdepartmental coding assistance, as needed, to determine accurate coding assignment.
Develop methodology to provide a coding process that is compliant with regulatory agencies, including utilization of reference materials such as CMS publications, Coding Clinic, CPT Assistant, etc.
Facilitate optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks such as auditing/monitoring, training, facilitation of charges through the claim scrubber system, assistance with patient or payer related charge/account inquiries, and research on coding/billing topics as requested by internal and external sources.
Serve as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties.
Serve as liaison for coding and billing staff to ensure accurate charge capture.
Report any documentation and coding improvement needs based upon review findings.
Maintain coding certification, knowledge and skills to successfully perform job duties.
Perform provider and peer coding audits as requested.
Assist with monitoring of internal controls for coding and billing.
Facilitate external audit activities and reporting to the appropriate administrative personnel.
Carle Health is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. For more information: human.resources@carle.com.
Compensation and Benefits
The compensation range for this position is $23.58 per hour - $39.38 per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered to a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
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