Coder II

Job description

Our Client, a Cancer Center company, is looking for a Coder II for their Remote location.

Responsibilities:

+ Compiles and keeps medical records of patients of health care delivery system to document patient condition and treatment.



+ Checks medical records for completeness and to abstract and code clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems.



+ Under the supervision of the Coding Manager, Coding Supervisor, and Lead Coder, the Coder is responsible for following established procedures for the review, classification, and abstraction of clinical data from patients’ medical records regarding diseases, treatment given, and operative procedures for assignment of diagnostic and procedural codes and modifiers.



+ This role abstracts and codes relevant data elements for a certain type of professional fee service area (i.e., Evaluation & Management, major and minor surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges) for multi-specialty physicians.



+ Reads and interprets medical record documentation to identify all diagnosis, conditions, problems and procedures for Evaluation & Management, surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges.



+ Clarifies conflicting, ambiguous, or non- specific information appearing in a medical record by consulting the appropriate physician.



+ Applies Official ICD-10-CM Guidelines to select first-listed diagnosis, primary procedure, complications, co-morbid conditions, other diagnoses and significant procedures which require coding.



+ Applies knowledge of ICD-10-CM and CPT-4 instructional notations and conventions to locate and assign the correct diagnostic and procedural codes and sequence them correctly.



+ Applies knowledge of current approved ICD-10-CM and CPT-4 coding guidelines to assign and sequence the correct diagnoses and procedure codes.



+ Applies knowledge of anatomy, clinical disease processes, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures.



+ Applies the Basic Coding Guidelines for professional fee physician coding to select and sequence diagnoses, conditions, problems, or other reasons which require coding for professional fee charges.



+ Applies knowledge of CPT-4 coding guidelines and notes to locate the correct codes for all services and procedures performed during the encounter and sequence them correctly.



+ Applies knowledge of government and commercial payer reimbursement guidelines to ensure optimal reimbursement.



+ Ability to utilize computerized encoder/grouper as a reference tool for coding.



+ Keeps current with ICD-10-CM and CPT-4 code changes, coding guidelines, and coding updates.



+ Assist with charge corrections as identified when coding professional fee services.



+ Reviews and completes required reporting documents as required by external and internal systems.



+ Completes productivity reports and submits them to the manager, supervisor, or lead.



+ Consistently meets coding quality standards and thresholds.



+ Attends meetings as required.



+ Successfully completes required education courses to maintain current coding certification.



+ Follows established client and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan.



+ Practices a high level of integrity and honesty in maintaining confidentiality.



+ Performs other related duties as assigned or requested.



The following shared, organization-wide competencies describe the desired behaviors that will facilitate success at client:

+ Communication - Expresses ideas clearly and constructively (written and spoken, upward and downward, one-on-one and with groups).



+ Customer Service - Seeks to understand customer needs and works to exceed customer expectations (internal and external).



+ Initiative - Looks for opportunities to improve performance; manages time, work, and relationships effectively and efficiently.



+ Professionalism - Treats others with respect; abides by the institutional values; displays a positive and cooperative attitude; adheres to the workplace Code of Conduct and compliance policies.



+ Stewardship - Identifies efficiencies to reduce redundancy and/or elimination of tasks resulting in savings of cost, resources, and or/time.



+ Teamwork - Works proactively and collaboratively with others to streamline work and achieve mutual goals.



Requirements:

+ 3-5 years of experience

+ Certs: TPC, CCS HIMA, CCSP

+ Post High School or equivalent

+ Two years of coding experience of professional fees (physician/medical office).



+ Thorough knowledge of medical terminology/anatomy/ physiology.



+ Comprehensive understanding of professional fee coding principles, including knowledge and proper application of assigning ICD and CPT codes, bundling, and modifiers based on regulatory guidelines.



+ Current knowledge, training and experience in ICD-10.



+ Fosters and promotes a positive image of the client

+ Presents a professional image

+ Medical terminology required

+ PC experience required

+ Data entry experience required

+ EPIC experience preferred

+ Microsoft Windows, Internet Explorer, Excel, and Word required

+ Experience with Optum and 3M Encoders preferred

+ Experience with Outlook required

+ Terminal Digit filing experience required

+ Alpha-numeric filing experience required

+ Analytical skills required

+ Ability to communicate verbally and written

+ Research information

+ Compile data

+ Excellent oral/written communication and organization skills

Machines/Equipment: Computer peripheral equipment

+ Facsimile

+ Personal Computer

+ Photocopier

Working / Environmental Conditions:

+ Atmosphere and environment associated with an office setting

+ Occasional pressure due to deadline requirements

+ Exposed to material of a confidential nature on a regular basis

Physical Demands:

+ Mostly sedentary work

+ Works at tasks involving focused concentration

+ Works at computer tasks involving hand/wrist coordination

+ Lifts and handles patient files (lift/carry up to 15 lbs)

+ Light to heavy physical effort (lift/carry/push carts that contain charts weighing from 10 lbs to over 100 lb.)

Why Should You Apply?



+ Health Benefits

+ Referral Program

+ Excellent growth and advancement opportunities

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.

Required Skill Profession

Other General