Job Description
Overview:
As a Coding Specialist I you will review inpatient and outpatient medical records for documentation, abstracting and analyzing. Coders assign all codes to the highest level of specificity following the current guidelines for ICD-10-CM, CPT and, HCPCS. With the ability to understand and properly apply modifiers, CCI edits, medical policy rules (e.g., LCD/NCD), etc. in compliance with payor regulations.
This position is open to remote/work from home with strong preference for candidates residing within the UPH geographies of Iowa, Illinois, & Wisconsin.
What are team member vaccine requirements?
As part of keeping our communities safe and healthy, all team members must be vaccinated for influenza and Tdap, provide proof of immunity to MMR and varicella, and be tested for tuberculosis. New hires must submit proof of vaccination or an approved exemption to begin work. If you have questions, please contact a recruiter or ask at any time during the interview process. UPH strongly recommends that all team members receive the updated 2023-2024 COVID-19 vaccine, and at this time, UnityPoint Health – Meriter requires Covid-19 vaccination or an approved exemption.
Why UnityPoint Health?
Commitment to our Team – We’ve been named a by Becker’s Healthcare for our commitment to our team members.
Culture – At UnityPoint Health, you matter. Come for a fulfilling career and experience guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
Benefits – Our competitive program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.
Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
Development – We believe equipping you with support and is an essential part of delivering a remarkable employment experience.
Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.
Visit us at (url removed)/careers to hear more from our team members about why UnityPoint Health is a great place to work.
Responsibilities:
Assigns procedural codes according to coding conventions defined by the American Medical Association’s CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable.
Assigns diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting.
Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality.
Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations.
Monitor environmental conditions in order to secure protected health information.
Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.
Consistently research and resolve coding related denials per payor regulations.
Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations.
Collaborate with Clinical Auditors to identify opportunities for improvement and provide guidance/counsel to providers.
Qualifications:
EDUCATION:
High-School Diploma/GED
Experience:
Knowledge of ICD-9/ICD-10 diagnosis, Current Procedural Terminology (CPT) and HCPCS codes required
License(s)/Certification(s):
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) current certification status required within one year of hire
Knowledge/Skills/Abilities:
Knowledge of medical terminology, anatomy, and physiology
Strong interpersonal and communication skills
Ability to work as a team member
Knowledge of medical billing and third party reimbursement policies preferred
Strong computer skills
Strong verbal and written communication skills
Job Tags
Permanent employment, Remote job,