What are the responsibilities and job description for the REMOTE PROFESSIONAL CERTIFIED CODER -Plastics, EM leveling, Dermatology, lesion removal position at Riverside Healthcare?

We Are Hiring!

At Riverside, everyday brings new and exciting challenges. You can expect an interesting environment where you're part of making sure our organization is running optimally and safely, helping keep the community healthy. We provide the kind of paid training and opportunities that long-term careers are built on and we recognize hard workers who strive to make a difference. You will be able to succeed in our close-knit, safety-focused culture working together as a team. The careers we offer are meaningful because the work we do matters. Join us!

FTE : 1.000000

Shift : Days

Location : HOOVER

Plastics, EM leveling, Dermatology, lesion removal, Breast biopsies, mastectomies, skin grafting & tissue transfers

Summary :

The Professional Certified Coder (fully remote) accurately codes and abstracts office, observation, and inpatient records as well as coding general surgical and some complex ambulatory and inpatient procedures (expertise in 1 or more procedural areas) while entering corresponding charges to achieve complete and compliant coding of assigned provider accounts to meet reimbursement and reporting requirements. Assists with end-of-month and error reconciliation processes, including retrospective verification of medical necessity. Must have the ability to work independently in a fast-paced environment with the skills to prioritize and shift focus as need arises. Must project a mature, customer-focused attitude and professional demeanor in all contacts. Must accept any and all other job duties as required within scope of position.

Experience / Education Requirements :

Minimum three (3) years current provider coding experience in the proceduralist office setting or a comprehensive ambulatory surgery center in 1 or more procedural areas required
Expertise in professional general surgery coding & procedural coding in at least one of the following areas : Cardiology, Neurosurgery, General Surgery (SDS), Plastics, Podiatry required
Two to three years' experience in physician billing preferred
Expertise in ICD-10-CM and CPT / HCPCS coding principles including expertise with 2021 / 2023 Outpatient and Inpatient EM guidelines mandatory.
Thorough knowledge of Official Coding Guidelines
Strong knowledge of HCC / risk-adjustment documentation requirements and coding rules
Solid command of medical terminology, human anatomy / physiology, pathophysiology, and disease process.
Typing skills of minimum 30 wpm with Windows-based PC knowledge base.
Polished communication and customer relations skills.
Ability to read and write in English.
Detail-oriented, committed to accuracy, ability to problem solve and critically think.
Working knowledge of Microsoft Office applications and virtual presentation software (e.g., GoToMeeting)
Strong verbal and written communication skills with ability to respect and adjust to cultural differences
Comfortable presenting information / education among peers and to providers
Independent worker and strong team player
Flexibility : ability to multi-task and easily change focus to meet required deadlines and new priorities

License or Certification Requirements :

Coding credential required : Certified Professional Coder (CPC) and / or Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA).

Responsibilities :

Accurately assigns and sequences appropriate ICD-10-CM codes for all diagnoses, signs, symptoms, and conditions documented in the medical record and addressed by the provider

Assigns all CPT / HCPCS codes required to accurately and completely report all procedures performed and services rendered by the provider and links each code to the corresponding diagnosis code(s)

Adds appropriate modifiers to CPT codes to fully describe services rendered

Reviews and responds to APC, OCE, CCI, and medical necessity edits identified during the encoder session to achieve compliant coding and optimize appropriate reimbursement and minimize payor denials.

Understands and applies recognized coding guidelines and billing requirements for Medicare / Medicaid / HMO / PPO and miscellaneous billing as defined by contract, state or federal law with ability to cite reputable sources as required.

Assists in end-of-reporting-period, backlog completion, medical necessity verification, and error reconciliation processes.

Collaborates with Patient Financial Services and source departments, practices and providers to achieve timely error-free coding and billing.

Actively participates in continuing education opportunities to improve job performance and / or maintain credentialing.

Riverside Healthcare is revolutionizing care using leading-edge technology to diagnose and treat patients. We are ranked top in the nation for performance in neurosurgery, orthopedics, and heart surgery and have also been named one of the nation's 100 Top Hospitals by Truven Health Analytics seven times. Riverside is nationally recognized for our specialty programs in obstetrics, trauma, oncology, rehabilitation, geriatrics, occupational health, psychiatric services, and treatment of alcohol and chemical dependency, as well as patient safety. We combine innovation and convenience at state-of-the-art facilities located in communities throughout the greater Kankakee area.

Riverside Medical Center proves that truly progressive medicine is being delivered in Chicago's southwest suburbs and East Central Illinois. Join a team that is not only concerned with providing the best care possible but also with offering a work environment of advancement and growth. Riverside is a place that embraces a culture where opinions count and dedications is respected, where superior performance is rewarded with competitive salaries and excellent benefits.

Other information :

Exposure / Sensory Requirements :

Exposure to :

Chemicals : None

Video Display Terminals : Average

Blood and Body Fluids : Performing ER and Admitting registrations have the potential to be exposed.

TB or Airborne Pathogens : Performing ER and Admitting registrations have the potential to be exposed.

Sensory requirements (speech, vision, smell, hearing, touch) :

Speech : Required to communicate during presentations / training, telephone communication, and facilitate meetings.

Vision : Needed to read memos and literature, close vision (ability to adjust focus).

Smell : NA

Hearing : Needed for telephone communication, meetings, alarms and listening to employee concerns.

Touch : Needed to write, computer entry, filing.

Activity / Lifting Requirements :

Average Hours per Week : 40

Shift : Varies

Percentage of time during the normal workday the employee is required to :

Sit : 50-88%

Twist : 5%

Stand : 1%

Crawl : 0%

Walk : 12-50%

Kneel : 0%

Lift : 0%

Drive : 0%

Squat : 0%

Climb : 0%

Bend : 5%

Reach above shoulders : 2%

The weight required to be lifted each normal workday according to the continuum described below :

Up to 10 lbs : Frequently

Up to 20 lbs : Frequently

Up to 35 lbs : Occasionally

Up to 50 lbs : Occasionally

Up to 75 lbs : Not Required

Up to 100 lbs : Not Required

Over 100 lbs : Not Required

Describe and explain the lifting and carrying requirements. (Example : the distance material is carried; how high material is lifted, etc.) :

Carrying materials such as charts and labels waist high and for approximately 20 feet.

Maximum consecutive time (minutes) during the normal workday for each activity :

Sit : 30

Twist : 1

Stand : 5

Crawl : 0

Walk : 5

Kneel : 0

Lift : 0

Drive : 0

Squat : 0

Climb : 0

Bend : 0

Reach above shoulders : 1

Repetitive use of hands (Frequency indicated) :

Simple grasp up to 10 lbs. Normal weight : 5-10# frequent

Pushing & pulling Normal weight :

Fine Manipulation : Computer keyboard, writing, calculator.

Repetitive use of foot or feet in operating machine control : Not Required

Environmental Factors & Special Hazards :

Environmental Factors (Time Spent) :

Inside hours : 8

Outside hours : 0

Temperature : Normal Range

Lighting : Average

Noise levels : Average

Humidity : Normal Range

Atmosphere : Special Hazards :

Protective Clothing Required : None

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What are the responsibilities and job description for the REMOTE PROFESSIONAL CERTIFIED CODER -Plastics, EM leveling, Dermatology, lesion removal position at Riverside Healthcare?

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