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HonorHealth

Medical Coder

HonorHealth, Chicago, Illinois, United States, 60290

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Overview

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Medical Coder

role at

HonorHealth . This range is provided by HonorHealth. Your actual pay will be based on your skills and experience talk with your recruiter to learn more. Base pay range

$55,411.00/yr - $70,647.00/yr Must reside in the following states to qualify: AL, AR, AZ, IA, MI, MN, MO, NV, NC, PA, TX, WI, WV Coder I Inpatient requires at least one (1) of the following certifications: CCS (Certified Coding Specialist), or RHIA (Registered Health Information Administrator) Job Summary

Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT, and HCPCs codes through review of Inpatient or Outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance. Codes complex accounts which requires advanced expertise in coding subject matters. Essential Functions

Inpatient: Assigns and sequences ICD-10-CM and ICD-10-PCS diagnostic and procedural codes for inpatient accounts within HonorHealth. Reviews physician documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic medical record and computer-assisted coding (CAC) software. Codes complex accounts. Assigns DRGs as applicable. Outpatient: Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT, and HCPCs diagnostic and procedural codes for multiple outpatient accounts such as (same day surgery, endoscopy, ED/Trauma, breast health, or other more complex patient type) within HonorHealth. Reviews physician documentation & coding for appropriateness & accuracy in accordance to Medicare and AMA guidelines. Utilizes electronic medical record and CAC software. Codes complex accounts. Addresses NCCI, OCE, LCD, and other applicable coding edits. Complies with system-wide coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement with Patient Financial Services, medical staff and various departments. Reviews and analyzes medical records for accurate code selection. Maintains query communication with providers to ensure timely notification of identified documentation issues that may impact revenue or compliance. Assists Patient Financial Services with interpretation of codes and other information requested for accurate billing and reimbursement. Possesses knowledge of failed bill parameters. Performs outpatient charge validation/ reconciliation to ensure charges are posted timely and balanced with total submitted charges. Assigns charges as applicable. Resolves routine coding issues/problems and seeks assistance from Coding Supervisor as needed. Keeps supervisor informed of issues. Participates in continuing education activities to enhance knowledge and credentials. Performs other duties as assigned. Education

Associate's Degree in health related field - Preferred High School Diploma or GED - Required Experience

2 years Inpatient: Two years experience in coding complex inpatient accounts including extended length of stay and extensive surgical or medical accounts. Outpatient: Two years experience in coding complex outpatient accounts which may include: Extensive emergency department trauma, newborn, obstetrics, day surgery, and observation. - Preferred Seniority level

Associate Employment type

Full-time Job function

Other Industries: Hospitals and Health Care

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