Job Description

JOB DESCRIPTION

SPECIALTY SCOPE FOR THIS CODER II POSITION TO INCLUDE BUT NOT LIMITED TO:

Upper Extremity:
• Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair 
• Elbows: Cubital tunnel release, Bursectomy, Arthroplasty
• Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment)
• Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations


Lower Extremity:
• Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy
• Pelvis: Fracture repairs
• Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs
• Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy
• Tibia/Fibula: Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain
 

WORK MODEL/SALARY

Days: Monday - Friday

Hours: 8hrs a day, 80hrs a pay period

100% Remote

The pay range for this position is $ (entry-level qualifications) - $ (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience.

JOB SUMMARY

  • The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. 
  • The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. 
  • For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties. 
  • Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. 
  • Coding references will be used to ensure accurate coding and grouping of classification assignment (, MS-DRG, APR-DRG, APC etc.) 
  • The Coder 2 will abstract and enter required data.

    • ESSENTIAL FUNCTIONS OF THE ROLE

  • Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
  • Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
  • Communicates with providers for missing documentation elements and offers guidance and education when needed.
  • Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
  • Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
  • Reviews and edits charges.

    • KEY SUCCESS FACTORS

  • Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
  • Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
  • Sound knowledge of anatomy, physiology, and medical terminology.
  • Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
  • Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
  • Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
  • Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.

    • Must have one of the following Certifications:

  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technologist (RHIT)
  • Certified Coding Specialist (CCS)
  • Certified Coding Specialist Physician-based (CCS-P)
  • Certified Professional Coder (CPC)
  • Certified Outpatient Coder (COC)
  • Certified Inpatient Coder (CIC)
  • Certified Interventional Radiology Cardiovascular Coder (CIRCC)

    • BENEFITS

    Our competitive benefits package includes the following:

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement
  • PTO accrual beginning Day 1

    • Note: Benefits may vary based upon position type and/or level

    MQUALIFICATIONS

  • EDUCATION - Diploma/GED Equivalent
  • EXPERIENCE - 2 Years of Experience
  • CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed:Cert Coding Specialist (CCS)Cert Coding Specialist-Physician (CCS-P)Cert Inpatient Coder (CIC)Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)Cert Professional Coder (CPC)Reg Health Info Administrator (RHIA)Reg Health Information Technician (RHIT).

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