Job Details

Professional Services Coder

Schedule: Full time; Day Shift; 8 hours daily, Wed - Sun between the hours of 6am and 6pm PST

Location: Remote

Salary: $24.44 - $34.21/hour

Summary: To be responsible for accurately assigning diagnostic and procedural coding for all encounters associated with Renown Health Network and Ambulatory Services. This will also include translating patient information into alpha-numeric medical codes using patient treatment, health history, diagnosis, and related information. Assignment of ICD-10-CM and CPT codes must be consistent with CMS Official Guidelines and any regulatory agency guidelines.

Minimum/Preferred Requirements

Education: Must have working-level knowledge of the English language, including reading, writing and speaking English. High School Diploma/GED required.

Experience: A minimum of 2-5 years previous pro-fee coding experience required. Experience in medical billing, and Professional Billing EMR workflows is preferred.

License(s): None

Certification(s): CCS, CCS-P, CPC, COC and/or CIC Coding credential required. (Excludes apprenticeship classification)

Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, Power Point, Excel, and Word. Must have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Knowledge, Skills and Abilities

• Knowledge of Anatomy and Physiology, Pharmacology, Disease Pathology, and Medical Terminology.
• Knowledge of modifiers, ICD-10-CM, CPT (including E/M) and HCPCS coding.
• Knowledge of Evaluation and Management Guidelines and auditing to assist in provider education and identifying possible revenue opportunities.
• Conversion of written description to proper billing codes.
• Ability to appeal CPT and ICD-10-CM for maximum reimbursement.
• Utilize critical thinking and problem-solving abilities.
• Comprehension of disease processes.
• Ability to work well with others.
• Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges.
• Uphold a strong work ethic characterized by honesty and dependability.
• Demonstrate personal time management skills, including organization, prioritization, and multitasking.
• Adherence to company policies, procedures, and directives.

Job Responsibilities/Duties

Incumbents must be proficient with CPT and ICD-10-CM coding systems and responsible for assigning ICD-10-CM diagnoses codes and CPT procedure codes accurately and completely to ensure optimal reimbursement and coding quality. Coders in this position are held accountable for adhering to coding guidelines; accounts must be coded within the quality and productivity standards specified by department leadership. Incumbent is responsible for abstracting, analyzing, and assigning ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M), minor procedures, and diagnostic tests by using either computerized or manual systems. Researches and resolves coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding practices. Other responsibilities include: Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers.