Professional Coder III AHWFB

Under limited supervision, abstracts and codes hospital based, inpatient hospital, outpatient and ambulatory physician (and mid-level provider) services and special procedures. Uses standard ICD diagnosis and CPT professional coding guidelines, Medicare, Medicaid and other third party regulations / requirements, as well as internal coding guidelines, in order to provide data for billing and reimbursement.

Department : 02409 WFBMG University Group Practice : WFBMC Main - Surgery : Plastic and Reconstruction

Status : Full time

Benefits Eligible : Yes

Hours Per Week : 40

Schedule Details / Additional Information : Employee will be hybrid, Monday- Friday 8 : 00am-5 : 00pm

Job Summary : This classification is intended for the most highly experienced and competent coding personnel.

Responsibilities

• Responsible for timely and accurate coding of hospital based professional services by reading medical record documentation to assign and sequence diagnoses and procedure codes according to coding guidelines.
• Maintains a current knowledge of ICD diagnosis codes, CPT physician service codes, internal codes, and governmental regulations.
• Accrues sufficient continuing education hours to maintain national coding certification.
• Serves as a resource for less experienced medical coders.
• Works collaboratively with team members, Corporate Revenue Cycle and Compliance Analysts to answer questions and / or resolve issues related to documentation, coding and billing of professional services and / or facility services.
• Provides physician education to ensure documentation is sufficient for greatest accuracy of coding.
• Resolves pending charges in the WakeOne coding work queues including claim denial work queues.
• Responsible for researching specific questions / issues or conducting special projects as assigned.
• Serves as a resource and / or participate in quality control functions such as assisting in audits of the departmental coding section.
• Performs other related duties incidental to the work described herein.

Requirements

Education / Experience : Graduation from an accredited medical coding program and three years of medical coding experience in a similar environment.

LICENSURE, CERTIFICATION, And / or REGISTRATION : National coding certification (CPC or CCS).

Skills / Qualifications : Experience in coding of physician professional services in a teaching environment, Familiarity with Medicare Teaching Physician Rules, Familiarity with facility fee services within a Provider Based clinic, Ability to meet and maintain performance standards of quality and productivity for Level III Coder by department, Good oral communication skills, Ability to provide guidance to others.

What We Offer

Pay Range : $28.05 - $45.25

J-18808-Ljbffr