Multispecialty Profee Coding Specialist

About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

JOB SUMMARY:
Coding Specialists 2 are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding for 4 or more specialties for one or more clients, facility, or multiple facilities or clients. The Coding Specialist 2 will code Professional Fee, Facility or HCC. The Coding Specialist 2 could be an Inpatient coder or could include a minimum of four specialists. Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include IR, Infection Disease, OBS, Oncology, Neurology, SDS, OT, PT, Urgent Care, ED, or a variety of other specialties.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

ESSENTIAL   DUTIES AND RESPONSIBILITIES:

Note:   The essential duties and   responsibilities   below are intended to describe the general   duties   and requirements of this position and are not intended to be an exhaustive statement of duties.   A Coding Specialist 1   may perform all or most of the primary   duties   listed below. Specific tasks,   responsibilities   or competencies may be documented in the   Team Member’s   performance   objectives   as outlined by the   Team Member’s immediate supervisor or manager.

- Team Member must be able to work from home and be independent in their coding skills .

- Provide various components of coding services to   support   our   clients .

- Calculate   ProFee   and/or   Facility E/M levels   by using a n algorithm created by our company (training is provided) .

- Recognize critical care cases   by   patient acuity .

- Code surgical procedures typical of an ER setting to capture   additional   revenue when   appropriate .

- Apply ICD-10-CM diagnosis codes to the highest level of specificity available .

- Accurately apply diagnosis and procedure codes   utilizing   ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS .

- Interpret coding guidelines for   accurate   code   assignment .

- Identify   the importance of documentation on code assignment and the   subsequent   reimbursement impact .

- Must   maintain   quality and productivity standards .

- Communicate   with clients in a professional manner   that   fosters an e xcellent   working   relationship   to support the company and its business interests

- May   assist   Leadership, or Lead Coding Specialist, with   reports as needed

- Potential opportunity   to begin helping with auditing .

- Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program .

- Comply with   all internal policies and procedures .

- All Coders must   maintain   at least one credential either through AAPC or AHIMA.

- Actively   participate   in   Company   provided training and education .

- Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information .

MINIMUM QUALIFICATIONS & REQUIREMENTS:

- All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P)

- Must have   a minimum of 2   years   of   experience .

- Must have   advanced   working knowledge and experience with systems such as EMR, Billing,   etc

- Mu st be proficient in Microsoft programs like Excel and Outlook.   Examples include:

- Excel   you should be able to   open and add to a spreadsheet,   perform basic formulas   like adding or multiplying, and create a basic pivot table.

- Outlooks   you should be able to manage emails and schedule   and attend   meetings.

- Must have   current   coding materials such as CPT   and ICD-10-CM coding references.

- Regular, predictable, and punctual attendance is   required .

- Will be   required   to   maintain   an ongoing productivity level and accuracy rate of 9 5 %   or higher.

- W ill be   required   to   maintain   an ongoing quality   score of   9 5 % or higher .

- Ability   to communicate effectively and professionally both verbally and written .

- Ability to coordinate, analyze,   observe , make decisions, and meet deadlines .

- May be   required   to perform other duties as assigned by   Leadership Team Member .

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.