Certified Coder-Potential Work from Home in Johnstown, PA at Health Support Center

Date Posted: 10/17/2018

Job Snapshot

Job Description

Health Support Center

Job Summary
Responsiblefor providing coding review and support related to inpatient and/or outpatientcoding bill edits, payer specific DRG audits and account resolution.
  • Works with departments to provide coding rationale with billing edits/rejects and audit findings.
  • Maintains knowledge and provides to BSC and ancillary departments  updates/changes regarding coding that include but are not limited to CPT, ICD-10, APC. 
  • Develops and directs coding education and assistance with all departments, consulting with managers and staff on developmental needs for new processes and making change recommendations as needed 
  • Performs inpatient coding audits using ICD-9-CM, ICD-10-CM/PCS, DRG validation (3M coding software) utilizing appropriate coding references via scanned, electronic and hybrid medical records.
  • Utilizes hospital abstracting system for coding validation when applicable.
  • Prepares preliminary results for review by the requesting party.
  • Reviews DRG change disagreements with the manager/director.
  • Assists in preparation of the final quarterly audit reports.
  • Maintains productivity levels while maintaining a 97% accuracy rate by third party auditors.

Job Requirements

Minimum Education
  • High school diploma or equivalent required
  • BA/BS degree preferred
  • CCS certification required
Required Skills

Intermediate proficiency in Microsoft Office applications

Minimum Required Work Experience 
Three (3) years coding experience in a multi hospital environment with thorough knowledge of the related inpatient prospective payment systems (IIPS).

Experience in working DRG coding denials and writing appeal letters to payors.

Experience preserving coding integrity based on Coding Guidelines, Coding Clinic and appropriate coding references and resources.

Knowledge of anatomy, physiology and medical terminology along with broad knowledge of pharmacology indications for drug usage and related adverse reactions.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran