Coder I

Requisition ID
2020-142135
Employment Type
Full Time
Department
Clinic Billing
Hours / Pay Period
80
Shift
Day
Standard Hours
Monday - Friday (8:00 AM - 4:30 PM) maybe flexible
Facility / Process Level : Name
CHI Baylor St. Luke's Medical Group
Location
TX-HOUSTON

Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

Responsibilities

The Coder I is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance.  This role is typically responsible for less complex coding with oversight.

 

  1. Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines.
  2. Communicates professionally with providers, practice management, and other stake holders either verbally or in writing.
  3. Responsible for working encounters in the coding work queue or task lists in a timely manner.
  4. Meets or exceeds organizational coding production and quality standards.
  5. Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits.
  6. Reviews and resolves coding denials.
  7. Participates in special projects and completes other duties as assigned.

Qualifications

Education and Licensure Required:

  • High school diploma or equivalent required.
  • Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) OR Certified Coding Specialist Physician Based (CCS-P)
    OR the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) preferred.

Minimum Experience:

  • One (1) year of physician coding experience required.
  • Previous Electronic Health Record experience preferred.

 

DISCLOSURE STATEMENT:

This job description reflects CHI’s assignment of essential functions, it does not prescribe or restrict the tasks that may be assigned.

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