Medical Coder I (Radiation Oncology) at Savista RCM in Remote - USA

Job description

• The Medical Coder II reviews clinical documentation to code diagnoses for physician-based claims and data needs. For Radiation Oncology physician-based claims and data needs, the Coder I review’s clinical documentation to code diagnoses and, if applicable, E&M level. Additionally, this role also validates APC calculations, abstracts clinical data, mitigates diagnosis and, if applicable, E&M level coding-related claims scrubber edits, and may interact with client staff and providers.

Responsibilities

• Verify and sequence ICD-10, and or CPT/HCPCS codes from patient medical records and or procedure reports for submission.
• Understanding of hierarchy coding for ICD-10 coding as it relates to official guidelines and linking.
• Knowledge and ability on how to apply column 1 and 2 rules for ICD-10 coding.
• Understanding of CMS guidelines and how to navigate and research LCD (LOCAL COVERAGE DETERMINATION) and NCD (National Coverage Determination).
• Individuals must be able to communicate clearly and precisely with providers during the querying process.
• Knowledge of Medicare, Managed Care and Commercial Insurance guidelines for coding E&M, and procedures.
• Ability to navigate electronic medical records as it relates to billing, coding, and insurance denials.
• Must be able to work denials for insurance follow-up and work collaboratively with Accounts Receivable Team.
• Coders are expected to review and submit sixty-four encounters per day or eight charts per hour, related to evaluation & management, procedures, testing, denials are five charts per hour.
• knowledge and understanding of insurance denials as it relates to accounts receivable.
• Must be comfortable working professional office, hospital outpatient and in-patient services.
• Participate in client and Savista staff meetings, trainings, and conference calls as requested and or required.
• Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols, and third-party requirements regarding coding and/or billing.
• Participate in continuing education activities to enhance knowledge, skills and maintain current credentials.

Requirements

• An active AHIMA (American Health Information Association) credential or an active AAPC (American Academy of Professional Coders) credential
• 3 years of relevant coding experience.
• Knowledge of medical terminology, anatomy and physiology, and ICD-10 and CPT/HCPCS code sets.
• Ability to consistently code at 95% threshold for quality and accuracy while maintaining client specific and/or Savista production and or quality standards.
• Proficient computer knowledge including MS Office with ability to enter data, sort and filter excel files, (Outlook, word and excel).
• Excellent interpersonal and problem-solving skills with all levels internal and external customers.
• Outstanding organization skills and time management required.
• Recent and relevant experience in an active coding production environment strongly preferred.
• Experience utilizing and encoder system.
• EPIC and Cerner experience preferable.
• Proficient in ARIA system

Skills

Required

• ICD-10 coding
• CPT/HCPCS coding
• Medical terminology
• Anatomy and physiology
• MS Office (Outlook, Word, Excel)
• Data entry
• Sorting and filtering Excel files
• Interpersonal skills
• Problem-solving skills
• Organization skills
• Time management

Preferred

• Encoder system
• EPIC
• Cerner
• ARIA system

Benefits

• Savista is required by state-specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $23 to $27. However, specific compensation for the role will vary within the above range based on many factors, including but not limited to geographic location, candidate experience, applicable certifications, and skills..