Carle Health
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Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters.
Qualifications Certifications: , Education: , Work Experience:
Responsibilities
Accurately code all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system.
Assignments of codes accurately reflect the diagnoses and procedures pertinent to the patient.
Provide interdepartmental coding assistance, as needed, to determine accurate coding assignment.
Develop methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as CMS publications, Coding Clinic, CPT Assistant, etc.
Facilitate optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system, assisting with various patient or payor related charge/account inquiries, research on various coding/billing related topics as requested by various sources internal and external to the organization, etc.).
Serve as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties.
Liaison for coding and billing staff to ensure accurate charge capture.
Report any documentation and coding improvement needs based upon review findings.
Maintain coding certification, knowledge and skills to successfully perform job duties.
Perform provider and peer coding audits as requested.
Assist with monitoring of internal controls for coding and billing.
Facilitate external audit activities and reporting of such activities to the appropriate administrative personnel.
About Us Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. For more information: human.resources@carle.com.
Compensation And Benefits The compensation range for this position is $23.58 per hour - $39.38 per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr
Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters.
Qualifications Certifications: , Education: , Work Experience:
Responsibilities
Accurately code all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system.
Assignments of codes accurately reflect the diagnoses and procedures pertinent to the patient.
Provide interdepartmental coding assistance, as needed, to determine accurate coding assignment.
Develop methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as CMS publications, Coding Clinic, CPT Assistant, etc.
Facilitate optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system, assisting with various patient or payor related charge/account inquiries, research on various coding/billing related topics as requested by various sources internal and external to the organization, etc.).
Serve as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties.
Liaison for coding and billing staff to ensure accurate charge capture.
Report any documentation and coding improvement needs based upon review findings.
Maintain coding certification, knowledge and skills to successfully perform job duties.
Perform provider and peer coding audits as requested.
Assist with monitoring of internal controls for coding and billing.
Facilitate external audit activities and reporting of such activities to the appropriate administrative personnel.
About Us Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. For more information: human.resources@carle.com.
Compensation And Benefits The compensation range for this position is $23.58 per hour - $39.38 per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr