编码员 I，骨科，远程
Coder I, Orthopedic, Remote
主要工作地点：
居家办公 - 肯塔基州 - ULP - CMG
地址：
居家办公，肯塔基州 40601
班次：
第一班（美国）
职位描述摘要：
UofL Health 是一个完全整合的区域学术医疗体系，包括五家医院、四家医学中心、近 200 个医生执业点、700 多名医务人员、Frazier 康复研究所和 Brown 癌症中心。
拥有超过 12,000 名团队成员——包括医生、外科医生、护士、药剂师和其他高技能医疗专业人员，UofL Health 始终致力于一个使命：每天为每一位患者提供以患者为中心的护理。
职位描述：
编码员 I 负责从服务文档中提取信息并分配有效的 CPT、ICD-10、HCPCS 代码和修饰符，以确保符合联邦、州、私人健康计划以及组织和监管指导的适当报销。该职位通常负责在监督下处理较为简单的编码任务。
核心职责：
- 准确从服务文档中提取信息，将适当的 CPT、ICD-10 和 HCPCS 代码录入到相应的计费系统中，确保符合既定指南
- 审核并解决编码被拒的情况
- 及时完成分配工作队列中的收费会话
- 完成符合当前电子病历（EM）指南的文档
- 在发布用于计费的代码之前，确保文档符合 CMS 和 ULH 政策规定的教学医师规则
- 在发布用于计费的代码之前，确保高级执业提供者的文档符合保险公司的特定规则
- 对编码审查中发现的薄弱环节提供评论/建议
- 根据需要向高级经理和合规教育者报告趋势性缺陷
其他职责：
- 达到或超过组织的编码生产与质量标准
- 参与特殊项目并完成其他指派的任务
- 与办公室主管、部门和提供者保持日常/每周沟通
- 能够在团队环境中工作并达成月度目标
- 遵守编码相关的规则和法规
- 及时回应来自经理、提供者、部门和代表的问题
- 遵守所有公司政策、程序和行为标准
- 遵守 HIPAA 隐私和安全要求，以保持机密性
查看英文原文
Primary Location:
Work From Home - KY - ULP - CMGAddress:
Home OfficeRemote, KY 40601Shift:
First Shift (United States of America)Job Description Summary:
UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center.
With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.Job Description:
The Coder I is responsible for abstraction and assigning valid CPT, ICD-10, HCPCs codes and modifiers to ensure appropriate reimbursement in accordance with federal state, and private health plans as well as organization and regulatory guidance. This role is typically responsible for less complex coding with oversight.
Essential Functions:
- Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-10, and HCPCs codes into the appropriate billing systems, ensuring compliance with established guidelines
- Reviews and resolves coding denials
- Completes charges sessions in the assigned work queues in a timely manner
- Completes documentation meeting the current EM Guidelines for providers
- Ensures documentation meets the Teaching Physician Rules as mandated by CMS and ULH Policies prior to release of a code for billing
- Ensures documentation for Advanced Practice Providers meets the payer-specific rules prior to release of a code for billing
- Provides comments/suggestion relative to weak areas identified in the coding reviews
- Provides trending deficiencies to Senior Manager and Compliance Educator, as appropriate
Other Functions:
- Meets or exceeds organizational coding production and quality standards
- Participates in special projects and completes other duties as assigned
- Maintains daily/weekly communication with office managers, department, and providers.
- Ability to work within a team environment and meet monthly goals
- Maintain compliance with rules and regulations regarding coding
- Responds in a timely manner to questions from manager, providers, department, and representatives
- Maintains compliance with all company policies, procedures and standards of conduct
- Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
- Performs other duties as assigned
Additional Job Description:
Education:
· High school diploma or GED/equivalent (required)
Experience:
· One to four (1-4) years physician coding experience (preferred)
Certification:
· Certified Professional Coder (CPC) accredited by the American Academy of Professional Coders (AAPC) (required)
· Certified Coding Specialist (CCS), Certified Coding Specialist Physician Based (CCS-P) or Certified Coding Assistant (CCA) accredited by the American Health Information Management Association (AHIMA) (required)
Originally posted on Himalayas