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Skills: ICD-10 Coding, CPT/HCPCS Coding, Medical Terminology, Anatomy and Physiology, Pharmacology
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$22/hr–$28/hr
Full-time
associate degree, professional certificate
Posted 30d ago
~40 hrs/week
Remote in Georgia, United States
Responsibilities
The coder reviews clinical documentation to assign and sequence diagnostic and procedural codes for billing and reimbursement. They ensure accurate APC calculations and abstract clinical data to meet regulatory and compliance requirements.
Requirements
Requires an active AHIMA or AAPC credential and at least two years of recent hands-on coding experience. Candidates must demonstrate proficiency in medical terminology and maintain a 95% quality threshold.
Full job description
Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder may interact with client staff and providers.
DUTIES AND RESPONSIBILITIES:
Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee Hospitalist; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record.
Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
Complete assigned work functions utilizing appropriate resources. May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
Maintain strict patient and provider confidentiality in compliance with all HIPPA Guidelines.
Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required.
Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.
Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.
SKILLS AND QUALIFICATIONS:
Candidates must successfully pass pre-employment skills assessment. Required:
An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential.
Two years of recent and relevant hands-on coding experience
Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets
Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards
Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files, (Outlook, Word, Excel)
Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers
PREFFERED SKILLS:
Recent and relevant experience in an active production coding environment strongly preferred
Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience
Experience using EPIC(a plus)
Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $22.08 - $28.00 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.
SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.
An end-to-end revenue cycle services provider serving healthcare organizations for over 30 years.
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Founded
2021
Headquarters
Alpharetta
LinkedIn followers
33,801
Savista provides end-to-end revenue cycle solutions and has been a trusted partner of healthcare organizations for over 30 years. We serve over 770 clients across 49 states, have been named a 2024 Top 10 BPO Healthcare by Healthcare Business Review, and have achieved the prestigious Peer Reviewed designation through HFMA.
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