Coder III

General Summary

Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical records and reports for quality assessment, audit and billing purposes.

Duties and Responsibilities

Essential Functions:

• Performs chart audits, reviewing for accuracy and compliance.
• Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10), procedure codes ( CPT-4), and other services (HCPCS) for final billing.
• Research and process invoice corrections.
• Reviews and analyzes coding/billing procedures.
• Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.
• Coordinates and implements reimbursement improvement activities with staff and providers.
• Meets WellSpan Coding Compliance Guidelines.

Common Expectations:

• Maintains job specific standards and expectations relative to productivity and quality.
• Prepares and maintains appropriate documentation as required.
• Maintains professional growth and development.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

• High School Diploma or GED Required

Work Experience:

• 3 years Relevant experience. Required

Licenses:

• Certified Professional Coder Upon Hire Required or
• Certified Coding Specialist - Physician Based Upon Hire Required or
• Certified Medical Coder Upon Hire Required or
• Certified Outpatient Coder Upon Hire Required or
• Registered Health Information Technician Upon Hire Required and
• Certified Anesthesia and Pain Management Coder within 2 years Required or
• Certified Cardiology Coder within 2 years Required or
• Certified ENT Coder within 2 years Required or
• Certified Hematology and Oncology Coder within 2 years Required or
• Certified Interventional Radiology Cardiovascular Coder within 2 years Required or
• Certified Pediatric Coder within 2 years Required or
• Certified Rheumatology Coder within 2 years Required or
• Certified Urology Coder within 2 years Required or
• Radiology Certified Coder within 2 years Required or
• Certified Cardiovascular and Thoracic Surgery Coder within 2 years Required or
• Certified Gastroenterology Coder within 2 years Required or
• Certified General Surgery Coder within 2 years Required or
• Certified Professional Coder Dermatology within 2 years Required or
• Certified Obstetrics Gynecology Coder within 2 years Required or
• Certified Ophthalmology Coder within 2 years Required or
• Certified Orthopedic Surgery Coder within 2 years Required

Knowledge, Skills, and Abilities:

• Knowledge of ICD-10-CM, CPT-4, and HCPCS coding.
• Basic computer skills.

Benefits Offered:
Comprehensive health benefits
Flexible spending and health savings accounts
Retirement savings plan
Paid time off (PTO)
Short-term disability
Education assistance
Financial education and support, including DailyPay
Wellness and Wellbeing programs
Caregiver support via Wellthy
Childcare referral service via Wellthy