Coder II

York, PA | Revenue Cycle | Coding | FTE: 1 | Regular | Tracking Code: 109151

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 documentation 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), and other items (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.
  • Adheres to 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.
Required for All Jobs:
  • Performs other related duties as identified.
  • WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.
  • WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Physical Demands:
  • Standing - Occasionally
  • Walking - Occasionally
  • Sitting - Frequently
  • Reaching - Rarely
  • Talking - Frequently
  • Hearing - Frequently
  • Repetitive Motions - Occasionally
  • Eye/Hand/Foot Coordination - Occasionally
Qualifications

Minimum Education:
  • High School Diploma or GED Required
Work Experience:
  • 1 year 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 Professional Coder Apprentice Upon Hire Required or
  • Certified Outpatient Coder Upon Hire Required
Courses and Training:
  • Home Care Coding Specialist-Diagnosis (HCS-D) - Only required for VNA Home Health Services. Upon Hire Required
Knowledge, Skills, and Abilities:
  • Knowledge of ICD-10-CM, CPT-4, and HCPCS coding.
  • Basic computer skills.
Danielle Lowry
Danielle Lowry
Talent Sourcing Specialist

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