Love + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, apply today.
Schedule Weekly Hours:
40
This position will work remote, however candidates must be within a reasonable driving distance to be able to attend occasional in person meetings/trainings. We are only accepting applications from the tri-state area (WI, MN, IA).
Job Description:
The Coding Specialist - Ambulatory Services is responsible for reviewing the medical record to evaluate and assign the appropriate CPT, HCPCS, and diagnosis codes specific to professional procedural services in the clinic setting and hospital outpatient departments, i.e., ancillary, urgent care, emergency services based on the documentation. The Coding Specialist - Ambulatory Services scope of work includes care provided in a professional clinic, outpatient and inpatient hospital setting, nursing home or home setting. The Coding Specialist - Ambulatory Services will apply their knowledge of chart auditing including all CPT, HCPCS or ICD 10-CM coding guidelines consistent with standard coding practices to ensure complete and compliant code assignment and hospital billing. The Coding Specialist - Ambulatory Services is responsible for reviewing all available documentation for each patient's clinic or hospital encounter and assigning appropriate code(s) for each service performed. Codes assigned will accurately represent the medical necessity for services provided. The Coding Specialist - Ambulatory Services will utilize standard query and clarification processes to assure consistency between documentation, charges and assigned codes. Adheres to the AHIMA Standards of Ethical Coding and AAPC Code of Ethics and the official coding rules and guidelines. Upon achieving entry level competency and demonstrating consistent performance in all other performance standards, the employee may request to work from a home-based office. If the request is granted, employee will comply with all provisions of the agreement. Occasional travel to Gundersen Health System facilities will be required
Major Responsibilities:
1. Reviews and audits patient medical records and applies knowledge of medical practice, coding guidelines, anatomy and physiology, pathophysiology, and pharmacology to select appropriate diagnostic and procedural codes for professional services provided in the clinic, hospital inpatient/outpatient and ancillary service encounters or hospital facility services for emergency services and urgent care. Applies appropriate CPT, HCPCS and diagnosis codes into EPIC for billing, research, planning, and quality improvement.
2. Adheres to the ICD-10-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the Cooperating Parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, the AHIMA Standards of Ethical Coding and AAPC Code of Ethics and any other official coding rules and regulations applicable to the work they are performing.
3. Applies appropriate billing guidelines including, but not limited to, new vs. established patients, modifiers, units, teaching physician guidelines, surgical coding, global period, incident to and shared visits, etc.)
4. Provides feedback of coding changes and utilize standard query processes to contact providers for clarification and additional documentation to ensure complete and compliant code assignment and billing.
5. Assists with coding inquiries for internal and external customers, with special attention to appropriate CPT codes.
6. Assists with internal coding audits as requested.
7. Maintains certification requirements as outlined by the applicable professional society.
8. Answers the telephone, responds to inquiries and routes calls to the appropriate staff as needed.
9. Assists with staff/student training, including job shadow applicants.
10. Completes annual department job specific competencies.
11. Follows established policies and procedures.
12. Performs other job-related responsibilities as requested.
Education and Learning:
REQUIRED High School Diploma or equivalency
DESIRED Associate degree in Health Information Management or Medical Coding Certificate
Work Experience:
REQUIRED 1year experience in a healthcare facility, health care business office or equivalent education.
DESIRED. 1 year professional medical or hospital coding experience. HIT associate degree can be substituted for experience.
License and Certifications:
REQUIRED
Certified Professional Coder - Apprentice (CPC-A) or Certified Coding Associate (CCA) or Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician Based (CCS-P) or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)
Age Specific Population Served:
Nonage Specific (N/A)
OSHA Category:
Category III - No employees in this job title have a reasonably anticipated risk of occupational exposure to blood and/or other potentially infectious materials.
Environmental Conditions:
Not substantially exposed to adverse environmental conditions (as in typical office or administrative work).
Physical Requirements/Demands Of The Position:
Sitting Continually (67-100% or 8 hours)
Repetitive Actions - Pinch Forces Frequently (34-66% or 5.5 hours)
Repetitive Actions - Fine Manipulation Continually (67-100% or 8 hours)
Lifting - Other Occasionally (6-33% or 3 hours) Number of lbs 0-25
Gundersen Health System
Onalaska Wisconsin
United States
Customer Service / Call Center
(No Timezone Provided)
Love + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, apply today.
Schedule Weekly Hours:
40
This position will work remote, however candidates must be within a reasonable driving distance to be able to attend occasional in person meetings/trainings. We are only accepting applications from the tri-state area (WI, MN, IA).
Job Description:
The Coding Specialist - Ambulatory Services is responsible for reviewing the medical record to evaluate and assign the appropriate CPT, HCPCS, and diagnosis codes specific to professional procedural services in the clinic setting and hospital outpatient departments, i.e., ancillary, urgent care, emergency services based on the documentation. The Coding Specialist - Ambulatory Services scope of work includes care provided in a professional clinic, outpatient and inpatient hospital setting, nursing home or home setting. The Coding Specialist - Ambulatory Services will apply their knowledge of chart auditing including all CPT, HCPCS or ICD 10-CM coding guidelines consistent with standard coding practices to ensure complete and compliant code assignment and hospital billing. The Coding Specialist - Ambulatory Services is responsible for reviewing all available documentation for each patient's clinic or hospital encounter and assigning appropriate code(s) for each service performed. Codes assigned will accurately represent the medical necessity for services provided. The Coding Specialist - Ambulatory Services will utilize standard query and clarification processes to assure consistency between documentation, charges and assigned codes. Adheres to the AHIMA Standards of Ethical Coding and AAPC Code of Ethics and the official coding rules and guidelines. Upon achieving entry level competency and demonstrating consistent performance in all other performance standards, the employee may request to work from a home-based office. If the request is granted, employee will comply with all provisions of the agreement. Occasional travel to Gundersen Health System facilities will be required
Major Responsibilities:
1. Reviews and audits patient medical records and applies knowledge of medical practice, coding guidelines, anatomy and physiology, pathophysiology, and pharmacology to select appropriate diagnostic and procedural codes for professional services provided in the clinic, hospital inpatient/outpatient and ancillary service encounters or hospital facility services for emergency services and urgent care. Applies appropriate CPT, HCPCS and diagnosis codes into EPIC for billing, research, planning, and quality improvement.
2. Adheres to the ICD-10-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the Cooperating Parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, the AHIMA Standards of Ethical Coding and AAPC Code of Ethics and any other official coding rules and regulations applicable to the work they are performing.
3. Applies appropriate billing guidelines including, but not limited to, new vs. established patients, modifiers, units, teaching physician guidelines, surgical coding, global period, incident to and shared visits, etc.)
4. Provides feedback of coding changes and utilize standard query processes to contact providers for clarification and additional documentation to ensure complete and compliant code assignment and billing.
5. Assists with coding inquiries for internal and external customers, with special attention to appropriate CPT codes.
6. Assists with internal coding audits as requested.
7. Maintains certification requirements as outlined by the applicable professional society.
8. Answers the telephone, responds to inquiries and routes calls to the appropriate staff as needed.
9. Assists with staff/student training, including job shadow applicants.
10. Completes annual department job specific competencies.
11. Follows established policies and procedures.
12. Performs other job-related responsibilities as requested.
Education and Learning:
REQUIRED High School Diploma or equivalency
DESIRED Associate degree in Health Information Management or Medical Coding Certificate
Work Experience:
REQUIRED 1year experience in a healthcare facility, health care business office or equivalent education.
DESIRED. 1 year professional medical or hospital coding experience. HIT associate degree can be substituted for experience.
License and Certifications:
REQUIRED
Certified Professional Coder - Apprentice (CPC-A) or Certified Coding Associate (CCA) or Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician Based (CCS-P) or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)
Age Specific Population Served:
Nonage Specific (N/A)
OSHA Category:
Category III - No employees in this job title have a reasonably anticipated risk of occupational exposure to blood and/or other potentially infectious materials.
Environmental Conditions:
Not substantially exposed to adverse environmental conditions (as in typical office or administrative work).
Physical Requirements/Demands Of The Position:
Sitting Continually (67-100% or 8 hours)
Repetitive Actions - Pinch Forces Frequently (34-66% or 5.5 hours)
Repetitive Actions - Fine Manipulation Continually (67-100% or 8 hours)
Lifting - Other Occasionally (6-33% or 3 hours) Number of lbs 0-25