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Coder II
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WellSpan Health
York, PA (In Person)
Full-Time
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Job Description
Full Time Day Shift General Summary Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical documentation and reports for quality assessment, audit, and billing purposes.
Duties and Responsibilities Essential Functions:
Performs chart audits, reviewing for accuracy and compliance. Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) procedure codes (CPT), and other items (HCPCS) for final billing. Research and process invoice corrections. Reviews and analyzes coding/billing procedures. Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers. Coordinates and implements reimbursement improvement activities with staff and providers. Adheres toWellSpan Coding Compliance Guidelines Common Expectations:
Maintains job specific standards and expectations relative to productivity and quality. Prepares and maintains appropriate documentation as required. Maintains professional growth and development. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.Qualifications Minimum Education:
High School Diploma or GED Required Work Experience:
1 year Relevant experience.Required Licenses:
Certified Professional Coder Upon Hire Required or Certified Coding Specialist- Physician Based Upon Hire Required or Certified Medical Coder Upon Hire Required or Certified Professional Coder Apprentice within 1 year Required or Certified Outpatient Coder Upon Hire Required or Registered Health Information Technician Upon Hire Required or Certified Home Care Coding Specialist
Diagnosis Upon Hire Required Courses and Training:
Certified Home Care Coding Specialist-Diagnosis (CHCS-D)- Only required for VNA Home Health Services.