Profee 编码专员
Profee Coding Specialist
关于我们：
我们的目标是帮助客户实现其财务健康目标。在报销流程中，我们的可扩展解决方案和临床专业知识帮助解决系统性需求。通过领先的技术赋能我们的团队，使分析能够指导我们的解决方案，并确保我们达成目标。
我们通过投资于你来打造长期的职业生涯。我们致力于创造一个促进你职业发展和个人成长的环境，因为我们相信你的成功就是我们的成功。
职位概述：
编码专家是CorroHealth团队的重要组成部分。编码团队成员将提供至少1-4个专业领域的CPT、HCPCS和ICD-10-CM编码。可能是专业费用、设施或HCC编码。专业费用专业可能包括UR、足病学、整形外科、儿科、妇产科、疼痛管理、骨科、成瘾治疗、普通外科、内科、急诊护理、肺科或急诊科。设施图表类型可能包括OT、PT、急诊护理、急诊科或其他各种专业。
核心职责和要求：
注意：以下核心职责和要求旨在描述该职位的一般职责和责任，并非对该职位职责的详尽陈述。该职位可能会执行以下大部分主要职责。具体任务、责任或能力可能在团队成员的绩效目标中进行记录，如由团队成员的直接领导团队所规定。
- 团队成员需能够居家办公，并具备独立的编码技能。
- 提供多种编码服务组件以支持我们的客户。
- 通过使用我们公司创建的算法计算专业费用E/M级别。
- 通过患者病情严重程度识别重症病例。
- 具有以下专业经验者优先：初级护理、心脏病学、血管外科、骨科、普通外科、神经学、肿瘤学
- 将诊断代码应用到尽可能高的具体程度。
- 准确应用诊断和操作代码，使用ICD-10-CM、ICD-10-PCS、CPT®和HCPCS
- 解读编码指南以准确分配代码
- 识别文档在代码分配及后续报销中的重要性。
- 遵循AHIMA的道德编码标准以及公司的道德准则和商业行为规范，并支持公司的道德与合规计划。
- 遵守所有内部政策和程序
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About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Will be Coding Professional Fee, Facility, or HCC. Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties.ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
- Team Member must be able to work from home and be independent in their coding skills.
- Provide various components of coding services to support our clients.
- Calculate ProFee E/M levels by using an algorithm created by our company
- Recognize critical care cases by patient acuity.
- Experience with the following specialties a plus: Primary Care, Cardiology, Vascular Surgery, Ortho, General Surgery, Neurology, Oncology
- Apply ICD-10-CM diagnosis codes to the highest level of specificity available.
- Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS
- Interpret coding guidelines for accurate code assignment
- Identify the importance of documentation on code assignment and the subsequent reimbursement impact.
- Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.
- Comply with all internal policies and procedures.
- Actively participate in Company provided training and education.
- All Coders must maintain at least one credential through either AAPC or AHIMA.
- Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information
MINIMUM QUALIFICATIONS & REQUIREMENTS:
- All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).
- Must have at least a minimum of 2 years of on the job experience.
- Regular, predictable, and punctual attendance is required.
- Must have working knowledge and experience with systems such as EMR, Billing, etc
- Must have a phone, reliable internet connection and current coding materials such as CPT and ICD-10-CM coding references.
- Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher
- Will be required to maintain a quality score of 95% or higher
- Must be proficient in Microsoft programs like Excel and Outlook. Examples include:
- Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.
- Outlooks you should be able to manage emails and schedule and attend meetings.
- Ability to communicate effectively and professionally both verbally and written.
- Ability to coordinate, analyze, observe, make decisions, and meet deadlines
- May be required to perform other duties as assigned by Leadership Team Member.
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Originally posted on Himalayas