Presbyterian Healthcare Services
Remote ED/Claim Edit Coder
Presbyterian Healthcare Services, Albuquerque, New Mexico, United States, 87101
Overview
Presbyterian is seeking a talented Remote ED/Claim Edit Coder with knowledge to code inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers. Demonstrates coding expertise in ICD-9/10 CM and CPT-4 classification and adheres to Hospital and Departmental Policies and Procedures.
Full Time - Exempt: No
Rev Hugh Cooper Admin Center
Work hours: Varied Days and Hours
Ideal Candidate:
Must have any one of the following coding certifications at time of hire: CCS, CCS-P, COC, or RHIT/RHIA. Inpatient Coding experience. Qualifications High school diploma/GED required. Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire. Three to five years experience as a coder required. Responsibilities Demonstrate knowledge of coding multiple areas of service and/or extensive experience in a specific specialty deemed a critical business need by PHS Coding Leadership. Review the patient’s entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG for financial reimbursement and research in accordance with Federal Regulations and Hospital/Departmental policies. Access multiple systems to research the medical record when needed to complete coding in a timely manner. Take responsibility for accounts receivable by ensuring encounters are coded and generating queries as needed. Maintain up-to-date technical knowledge of legal and regulatory information, including ICD-9/10 CM, CPT-4, HCPCS, DRG, APC and/or HHRG updates. Resolve pre-bill edits, denials, and related issues for assigned accounts. Participate in departmental in-services and updates to stay current with accepted coding guidelines. Perform other functions as required. Base pay range $23.11/hr - $35.29/hr Benefits Presbyterian offers a comprehensive benefits package including medical, wellness, vision, dental, paid time off, retirement and more for eligible employees. The Employee Wellness Rewards Program encourages participation in health-enhancing activities with incentives. About Presbyterian Healthcare Services Presbyterian is a mission-driven, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing medical group. With nearly 14,000 employees, it is the largest private employer in New Mexico. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke-free campuses. Compensation Maximum Offer for this position is up to USD $35.29/Hr. The compensation range takes into account a wide range of factors including experience and training, internal equity, and other business needs. Seniority level Mid-Senior level Employment type Full-time Job function General Business and Analyst Industries: Hospitals and Health Care
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Must have any one of the following coding certifications at time of hire: CCS, CCS-P, COC, or RHIT/RHIA. Inpatient Coding experience. Qualifications High school diploma/GED required. Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire. Three to five years experience as a coder required. Responsibilities Demonstrate knowledge of coding multiple areas of service and/or extensive experience in a specific specialty deemed a critical business need by PHS Coding Leadership. Review the patient’s entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG for financial reimbursement and research in accordance with Federal Regulations and Hospital/Departmental policies. Access multiple systems to research the medical record when needed to complete coding in a timely manner. Take responsibility for accounts receivable by ensuring encounters are coded and generating queries as needed. Maintain up-to-date technical knowledge of legal and regulatory information, including ICD-9/10 CM, CPT-4, HCPCS, DRG, APC and/or HHRG updates. Resolve pre-bill edits, denials, and related issues for assigned accounts. Participate in departmental in-services and updates to stay current with accepted coding guidelines. Perform other functions as required. Base pay range $23.11/hr - $35.29/hr Benefits Presbyterian offers a comprehensive benefits package including medical, wellness, vision, dental, paid time off, retirement and more for eligible employees. The Employee Wellness Rewards Program encourages participation in health-enhancing activities with incentives. About Presbyterian Healthcare Services Presbyterian is a mission-driven, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing medical group. With nearly 14,000 employees, it is the largest private employer in New Mexico. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke-free campuses. Compensation Maximum Offer for this position is up to USD $35.29/Hr. The compensation range takes into account a wide range of factors including experience and training, internal equity, and other business needs. Seniority level Mid-Senior level Employment type Full-time Job function General Business and Analyst Industries: Hospitals and Health Care
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