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Information Technology Coder II
Duarte, CA US
Job Description
100% remote. Initial 3-month contract with the possibility of an extension or direct offer.
Schedule:
Position is part time, 3-4 days/week. 2 days per week guaranteed, additional days added as needed.
Schedule is flexible within PST hours (8 hours between 6a-6p).
This role is responsible for following established procedures for the review, classification, and abstraction of clinical data from patients’ medical records regarding diseases, treatment given, and operative procedures for assignment of diagnostic and procedural codes and modifiers. This role abstracts and codes relevant data elements for a certain type of professional fee service area (i.E., Evaluation & Management, major and minor surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges) for multi-specialty physicians.
Position Duties:
- Reads and interprets medical record documentation to identify all diagnosis, conditions, problems and procedures for Evaluation & Management, surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges.
- Clarifies conflicting, ambiguous, or non- specific information appearing in a medical record by consulting the appropriate physician.
- Applies Official ICD-10-CM Guidelines to select first-listed diagnosis, primary procedure, complications, co-morbid conditions, other diagnoses and significant procedures which require coding.
- Applies knowledge of ICD-10-CM and CPT-4 instructional notations and conventions to locate and assign the correct diagnostic and procedural codes and sequence them correctly.
- Applies knowledge of current approved ICD-10-CM and CPT-4 coding guidelines to assign and sequence the correct diagnoses and procedure codes.
- Applies knowledge of anatomy, clinical disease processes, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures.
- Applies the Basic Coding Guidelines for professional fee physician coding to select and sequence diagnoses, conditions, problems, or other reasons which require coding for professional fee charges.
- Applies knowledge of CPT-4 coding guidelines and notes to locate the correct codes for all services and procedures performed during the encounter and sequence them correctly.
- Applies knowledge of government and commercial payer reimbursement guidelines to ensure optimal reimbursement.
- Ability to utilize computerized encoder/grouper as a reference tool for coding.
- Keeps current with ICD-10-CM and CPT-4 code changes, coding guidelines, and coding updates.
- Assist with charge corrections as identified when coding professional fee services.
- Reviews and completes required reporting documents as required by external and internal systems.
- Completes productivity reports and submits them to the manager, supervisor, or lead.
- Consistently meets coding quality standards and thresholds.
- Attends meetings as required.
- Successfully completes required education courses to maintain current coding certification.
Schedule:
Position is part time, 3-4 days/week. 2 days per week guaranteed, additional days added as needed.
Schedule is flexible within PST hours (8 hours between 6a-6p).
This role is responsible for following established procedures for the review, classification, and abstraction of clinical data from patients’ medical records regarding diseases, treatment given, and operative procedures for assignment of diagnostic and procedural codes and modifiers. This role abstracts and codes relevant data elements for a certain type of professional fee service area (i.E., Evaluation & Management, major and minor surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges) for multi-specialty physicians.
Position Duties:
- Reads and interprets medical record documentation to identify all diagnosis, conditions, problems and procedures for Evaluation & Management, surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges.
- Clarifies conflicting, ambiguous, or non- specific information appearing in a medical record by consulting the appropriate physician.
- Applies Official ICD-10-CM Guidelines to select first-listed diagnosis, primary procedure, complications, co-morbid conditions, other diagnoses and significant procedures which require coding.
- Applies knowledge of ICD-10-CM and CPT-4 instructional notations and conventions to locate and assign the correct diagnostic and procedural codes and sequence them correctly.
- Applies knowledge of current approved ICD-10-CM and CPT-4 coding guidelines to assign and sequence the correct diagnoses and procedure codes.
- Applies knowledge of anatomy, clinical disease processes, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures.
- Applies the Basic Coding Guidelines for professional fee physician coding to select and sequence diagnoses, conditions, problems, or other reasons which require coding for professional fee charges.
- Applies knowledge of CPT-4 coding guidelines and notes to locate the correct codes for all services and procedures performed during the encounter and sequence them correctly.
- Applies knowledge of government and commercial payer reimbursement guidelines to ensure optimal reimbursement.
- Ability to utilize computerized encoder/grouper as a reference tool for coding.
- Keeps current with ICD-10-CM and CPT-4 code changes, coding guidelines, and coding updates.
- Assist with charge corrections as identified when coding professional fee services.
- Reviews and completes required reporting documents as required by external and internal systems.
- Completes productivity reports and submits them to the manager, supervisor, or lead.
- Consistently meets coding quality standards and thresholds.
- Attends meetings as required.
- Successfully completes required education courses to maintain current coding certification.
Job Requirements
- 2+ years of experience with surgical coding and multi-specialty. Surgical coding is a must-have.
- Experience with EPIC required.
- Experience with EPIC required.
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