- Assignment Category: Not Applicable
- FTE: 1
General Summary
Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical records and reports for quality assessment, audit and billing purposes.
Responsibilities
Duties and Responsibilities
Essential Functions:
- Performs chart audits, reviewing for accuracy and compliance.
- Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10), procedure codes ( CPT-4), and other services (HCPCS) for final billing.
- Research and process invoice corrections.
- Reviews and analyzes coding/billing procedures.
- Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.
- Coordinates and implements reimbursement improvement activities with staff and providers.
- Meets WellSpan Coding Compliance Guidelines.
Common Expectations:
- Maintains job specific standards and expectations relative to productivity and quality.
- Prepares and maintains appropriate documentation as required.
- Maintains professional growth and development.
- Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
Qualifications
Qualifications
Minimum Education:
- High School Diploma or GED Required
Work Experience:
- 3 years Relevant experience. Required
Licenses:
- Certified Professional Coder Upon Hire Required or
- Certified Coding Specialist - Physician Based Upon Hire Required or
- Certified Medical Coder Upon Hire Required or
- Certified Outpatient Coder Upon Hire Required or
- Registered Health Information Technician Upon Hire Required and
- Certified Anesthesia and Pain Management Coder Upon Hire Required or
- Certified Cardiology Coder Upon Hire Required or
- Certified ENT Coder Upon Hire Required or
- Certified Hematology and Oncology Coder Upon Hire Required or
- Certified Interventional Radiology Cardiovascular Coder Upon Hire Required or
- Certified Pediatric Coder Upon Hire Required or
- Certified Rheumatology Coder Upon Hire Required or
- Certified Urology Coder Upon Hire Required or
- Radiology Certified Coder Upon Hire Required or
- Certified Cardiovascular and Thoracic Surgery Coder Upon Hire Required or
- Certified Gastroenterology Coder Upon Hire Required or
- Certified General Surgery Coder Upon Hire Required or
- Certified Professional Coder Dermatology Upon Hire Required or
- Certified Obstetrics Gynecology Coder Upon Hire Required or
- Certified Ophthalmology Coder Upon Hire Required or
- Certified Orthopedic Surgery Coder Upon Hire Required
Knowledge, Skills, and Abilities:
- Knowledge of ICD-10-CM, CPT-4, and HCPCS coding.
- Basic computer skills.
Benefits Offered:
- Comprehensive health benefits
- Retirement savings plan
- Paid time off (PTO)
- Education assistance
- Financial education and support, including DailyPay
- Expanded Paid Parental Leave
For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)
