Remote Medical Coder

Job Title : Health Info Coder III Location : Remote Duration : 16+ weeks contract Description :- Required:

• One of the following certifications: Certified Coding Specialist (CCS), Certified Coding Specialist – Physician-based (CCS-P), Certified Professional Coder (CPC), or Certified Professional Coder – Hospital (CPC-H)
• Minimum of 5 years of acute, multi-specialty hospital coding experience
• At least 2 years of both professional (pro-fee) and facility coding experience
• Strong knowledge of ICD-10 CM, CPT, and HCPCS coding systems
• Solid understanding of anatomy, physiology, disease processes, and medical terminology
• Proven ability to lead staff and function as a technical resource
• Experience as a Medical Record Abstractor
• Proficiency in Microsoft Office
• Ability to research coding guidelines and payer policies
• Experience with Epic Preferred: - 4 or more years of total medical coding experience - Additional specialty certification - Experience with Oncology coding guidelines - Knowledge of CMS and local carrier regulations for teaching hospitals Under the manager's direction, the incumbent may function as a Lead Coder or perform highly complex coding in areas requiring specialized expertise. As a lead, the incumbent is responsible for daily oversight of the work assignments to ensure optimal workflow and productivity. Responsible for assessing the quality of abstracted data. Acts as a technical and informational resource for the Health Information Coder IV level. Provides information on coding question trends, and issues that affect the coder-physician communication process and follow up on queries to physicians to address coding deficiencies. Reconciles discrepancies between coded physician encounter forms and HIM coding and works on denials. As a Specialized Coder, the incumbent is responsible for utilizing a highly specialized and complex set of knowledge, skills, and appropriate credentials to perform Infusion Coding, Oncology Coding. Job Duties: Take on a significant role within an excellent health organization. Elevate the operational effectiveness of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital responsibilities, including:
• Reviewing physicians’ notes to determine if documentation requirements are met
• Extrapolating and applying diagnostic, therapeutic codes as applicable across anatomical subsections for general coding in work queues
• Analyzing medical documentation to assess accuracy
• Entering charges in EPIC
• Identifying and reporting any potential compliance risks
• Code and process hospital charges in Epic within established departmental and enterprise guidelines
• Attend courses to learn the latest procedures/diagnostic codes as they relate to Oncology Infusion Coding
• Inform the Manager of problems in billing
• Monitor CPT and HCPC changes and inform the Manager of necessary changes needed to apply system-wide
• Liaison between department and hospital for implementation and maintenance of billing codes
• Monitor CMS, Medi-Cal website for billing guidelines for High Complex and Chemotherapy drugs
• Cross-training with intra-departmental for revenue optimization

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