Coder

SRHS Mission

Provide excellence in health

SRHS Behavioral Standards

Excellence Providing consistent and compassionate service

Stewardship Taking ownership and pride in our organization through appropriate and respectful use of resources.

Teamwork Engaged associates positively working together for a common goal

Accountability Taking responsibility by upholding the organization’s mission and values

Integrity Doing the right thing, ALWAYS

Respect Being positive, courteous, honest and appreciative in all interactions

Position Summary

The Coder assigns ICD10 diagnoses, procedural codes, and HCPCS codes to MGC and outpatient accounts for Infusion services including outpatient treatment services, outpatient/inpatient Apheresis, outpatient PICC line services, and Hematology/Oncology office service coding, and Gibbs Cancer Center outpatient lab service coding if applicable. Will support treatment authorization, treatment estimate, and senior account collection staff with appeal/audit requests as needed. Associate will also be responsible for daily edits/reconciliation, audit reports, and compliance review to ensure charge accuracy for applicable departments. All coding will be done using established guidelines and based on the medical record documentation. Other assigned duties by Manager or Director. The coder is responsible for providing coding education to nursing and Providers as needed and completing daily billing functions. Others duties as assigned by Supervisor/Manager.

Minimum Requirements

Education

• High School Diploma

Experience

• N/A

License/Registration/Certifications

• Certified Coder

Preferred Requirements

Preferred Education

• Associate’s Degree

Preferred Experience

• 2 years billing/coding experience

Preferred License/Registration/Certifications

• N/A

Core Job Responsibilities

• Review provider charges for accuracy
• Assign appropriate ICD-10 and CPT codes
• Assign modifiers as appropriate
• Review and correct (if appropriate) provider audits
• Provide coding/billing education to Inpatient providers
• Complete charge corrections
• Communicate and coordinate daily billing with PBS
• Maintain current coding knowledge
• Work independently with limited supervision

Physical Requirements

• Prolonged periods of sitting and concentration
• Must be meticulous with detail.
• Must have good verbal and written communication skills.
• Must be able to sit and view computer monitor for extended periods of time.
• Must possess strong organizational skills.
• Must be able to work as a team member with other staff, doctors, departments and agencies.
• Must be flexible in responsibilities.
• Must be self-directed and able to work independently.
• Prolonged use of computer