Carle Health
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HIM Cert Coder OP Team A - CMH
role at
Carle Health
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 coding software such as computer assisted coding and encoders to ensure compliant billing of Carle claims.
This role requires understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations, and application of CPT modifiers. The coder resolves billing edits related to coding and uses Carle electronic medical record systems to review clinical encounters.
Qualifications
Certification:
Education:
Work Experience:
Responsibilities
Accurately code all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCS and modifiers) reflecting diagnoses and procedures.
Provide interdepartmental coding assistance and determine accurate coding assignment.
Develop methodology to provide a compliant coding process utilizing reference materials such as CMS publications, Coding Clinic, CPT Assistant, etc.
Facilitate revenue optimization while maintaining compliance standards through auditing, training, charge capture, and research on coding/billing topics.
Serve as an expert resource regarding CPT, HCPCS, ICD-10-CM and regulatory guidelines for internal and external parties.
Act as liaison for coding and billing staff to ensure accurate charge capture.
Report documentation and coding improvement needs based on review findings.
Maintain coding certification, knowledge, and skills; perform provider and peer coding audits as requested.
Assist with monitoring internal controls for coding and billing and facilitate external audit activities.
About Us Discover the job and the career purpose you were meant for. Carle Health is a supportive, inclusive team where you can thrive. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in eight hospitals, physician groups, and diverse health businesses. Carle Health offers opportunities in communities across central Illinois.
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 protected class. Carle Health participates in E-Verify.
Compensation And Benefits The compensation range for this position is $23.58 per hour - $39.38 per hour. Candidates will receive a comprehensive benefits package visit careers.carlehealth.org/benefits.
Seniority level Entry level
Employment type Full-time
Job function Health Care Provider
Industries Hospitals and Health Care
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HIM Cert Coder OP Team A - CMH
role at
Carle Health
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 coding software such as computer assisted coding and encoders to ensure compliant billing of Carle claims.
This role requires understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations, and application of CPT modifiers. The coder resolves billing edits related to coding and uses Carle electronic medical record systems to review clinical encounters.
Qualifications
Certification:
Education:
Work Experience:
Responsibilities
Accurately code all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCS and modifiers) reflecting diagnoses and procedures.
Provide interdepartmental coding assistance and determine accurate coding assignment.
Develop methodology to provide a compliant coding process utilizing reference materials such as CMS publications, Coding Clinic, CPT Assistant, etc.
Facilitate revenue optimization while maintaining compliance standards through auditing, training, charge capture, and research on coding/billing topics.
Serve as an expert resource regarding CPT, HCPCS, ICD-10-CM and regulatory guidelines for internal and external parties.
Act as liaison for coding and billing staff to ensure accurate charge capture.
Report documentation and coding improvement needs based on review findings.
Maintain coding certification, knowledge, and skills; perform provider and peer coding audits as requested.
Assist with monitoring internal controls for coding and billing and facilitate external audit activities.
About Us Discover the job and the career purpose you were meant for. Carle Health is a supportive, inclusive team where you can thrive. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in eight hospitals, physician groups, and diverse health businesses. Carle Health offers opportunities in communities across central Illinois.
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 protected class. Carle Health participates in E-Verify.
Compensation And Benefits The compensation range for this position is $23.58 per hour - $39.38 per hour. Candidates will receive a comprehensive benefits package 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