What are the responsibilities and job description for the Health Information Coder II - Remote position at SGA Inc.?
Software Guidance & Assistance, Inc., (SGA), is searching for a Health Information Coder II for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA .
Responsibilities :
Preferred Skills:
SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at https://sgainc.com/ .
SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company EEO page to request an accommodation or assistance regarding our policy.
Responsibilities :
- Reads and analyzes physicians' notes to assess them for documentation accuracy. This involves comparing physician documentation to established Evaluation and Management Guidelines to certify the appropriate category of billing and the correct level of billing within that category. Additionally, the dates of service, CPT codes, place of service and diagnostic codes billed must be corroborated in the medical record.
- Work assigned WQ Edits for CPC Unit (all specialties for 2200 providers)
- Verifies all information supplied
- Provides appropriate feedback for root cause/action items
- Corresponds with physicians regarding billing issues as needed via phone, email, etc
- Maintains Production Standards and Turn Around Time. Targets consist of a variety of E/M and procedural coding.
- Reviews new policy and procedures, standards and guidelines pertaining to coding to ensure an up-to-date knowledge and experience level.
- CPC from AAPC or equivalent national accredidation
- 2 years experience E/M abstracting required
- Certified as a Professional Coder from the American Academy of Professional Coders or equivalent national entity required; with minimum 2 years experience abstracting E/Ms required and abstracting surgical procedures preferred
- Detailed knowledge of Medical Terminology and its application required
- Detailed knowledge and understanding of ICD-9, CPT, and HCPCS coding systems required
- Knowledge of CMS and local carrier regulations and requirements for documenting/billing physician services at a teaching hospital
- Working knowledge of anatomy and physiology required
- Extensive knowledge of Medical Record content required
- Experience as Medical Record Abstractor required
- Ability to accurately assign ICD-10 and CPT codes required
- Knowledge of HIPAA requirements
- Ability to maintain confidentiality of sensitive information
- Ability to meet established continuing education requirements by attending required training workshops, reading
materials assigned by AAPC in order to maintain yearly CEUs required for Certified Professional Coder.
Preferred Skills:
- Surgical abstracting preferred
SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at https://sgainc.com/ .
SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company EEO page to request an accommodation or assistance regarding our policy.
Salary : $52 - $55