Responsibilities/Job Description:
Fairview is looking for a Coder 3 to join our team! This is a fully remote position approved for a 1.0 FTE (80 hours per pay period) on the day/evening shift. The role will require that you are able to work one weekend (Saturday) a month.
This is a clinical or hospital-based coding position for an experienced coder working with specialty professional or hospital outpatient accounts. OP Coder 3 will competently assign ICD-10-CM, CPT-4, HCPCS codes to more complex outpatient accounts for billing, internal and external reporting, research, and regulatory compliance. Utilizes an encoder and/or computer assisted coding (CAC) software to achieve accurate and thorough coding. Is responsible for assigning, APC weights, resolving medical necessity edits, and extracting data for the medical record abstract. Researches complex coding scenarios. OP Coder 3 analyzes clinical documentation; assign appropriate diagnosis, procedure, level of service codes; and abstracts the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements.

Job Expectations

• Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards
• Actively participates in creating and implementing workflow improvements.
• Assigns ICD-10-CM, CPT-4, or HCPCS codes to all diagnoses, treatments, and procedures on complex hospital outpatient or clinical department visits.
• Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.
• Is able to research and understand simple and moderately complex coding issues.
• Is proficient in using various coding software. Is able to problem solve simple computer issues.
• Utilizes technical coding principles and/or APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT-4 procedures. Assigns modifiers to CPT codes.
• Extracts required information from electronic medical record and enters into coding software and abstracting system.
• Follows-up on unabstracted accounts to assure timely billing and reimbursement
• Identify and resolve clinical documentation and charge capture data discrepancies to improve quality of the clinical documentation, complexity of reimbursement levels assigned, and integrity of data reported

REQUIRED QUALIFICATIONS:

• Completion of an accredited coding certificate program or a Health Information Technician program.
• 2 years of coding experience

PREFERRED QUALIFICATIONS

• AS/BS in Health Information
• 2 years of coding experience with a variety of professional and hospital accounts – i.e. Observation, Surgical outpatients, Interventional Radiology, Heart Catheterization, Professional billing surgical specialty

Please refer the Job description for details