Remote Coder II - ICD-10

Profile

Remote Coder II - ICD-10','Full-time','Administrative/Clerical','8am to 4:30pm','8am to 4:30pm','80','80','None','None','WASHINGTON-TACOMA-FMG-CENTRAL ADMINISTRATION','','!*!CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits.  We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.

Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team!


Job Summary:
The coding function ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. The primary function of this position is to perform ICD-9-CM, CPT and HCPCS coding for reimbursement through documentation review as well as abstracting billable services from documentation to capture missed revenue.  The employee reviews, analyzes, and codes diagnostic and procedural information as supported by documentation in accordance with Medicare, Medicaid, and private insurance guidelines. S/he is responsible for timely, accurate, and comprehensive review of services.  The coder is responsible for identifying and reporting compliance concerns that would place the organization at risk for fraudulent billing and works with the coder coordinators to identify billing trends and educational opportunities.


Essential Duties:

Abstracts, assigns and sequences ICD-9-CM/CPT/HCPCS codes to diagnoses and procedures as supported by documentation.  Assures the final diagnoses and operative procedures as stated by the physician are valid and coded to the highest level of specificity.  Abstracts all necessary information from documentation to identify secondary complications and co-morbid conditions.
Meets FMG Production standards for coding procedures.
Meets FMG Quality standards per the Coding Audit and Monitoring process.
Follows all Coding department policies and procedures.
Understands and applies changes in the external regulatory environment, third party reimbursement agencies, and stays current with coding updates ensuring clean claims are submitted for adjudication.
Performs a comprehensive review of the documentation to assure the presence of all component parts such as: patient and record identification, signatures and dates where required and other necessary data.
Analyses, trends, and identifies front end edits based on denied claims.  Correct or compose appeal letters when appropriate.  Works closely with the insurance follow-up department.
Performs coding reviews based on customer billing disputes.  Works closely with the customer service department providing recommended feedback information regarding the disputed claims.

Additional Responsibilities:

Adheres to and exhibits our Core Values of Reverence, Integrity, Compassion and Excellence. ','!*!Education/Experience:

Two years of coding experience using CPT and ICD-9-CM or equivalency. 


License/Certification:

Certified Professional Coder Apprentice (CPC-A), (CPC) (AAPC) or Certified Coding Associate (CCA), (CCS, CCS-P) (AHIMA) required.   The incumbent is expected to enroll in continuing education courses to maintain certification. 

 ','We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.','2018-R0144819','CHI-Franciscan Medical Group','Remote Coder II - ICD-10

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