Remote Coder II

Common Spirit

Tacoma Washington

United States

Information Technology
(No Timezone Provided)

Overview

In 2020, united in a fierce commitment to deliver the highest quality care and exceptional patient experience, Virginia Mason and CHI Franciscan Health came together as natural partners to build a new health system centered around the patient: Virginia Mason Franciscan Health. Our combined system builds upon the scale and expertise of our nearly 300 sites of care, including 11 hospitals and nearly 5,000 physicians and providers. Together, we are empowered to make an even greater impact on the health and well-being of our communities.

CHI Franciscan and Virginia Mason are now united to build the future of patient-centered care across the Pacific Northwest. That means a seamlessly connected system offering quality care close to home. From basic health needs to the most complex, highly specialized care, our patients can count on us to meet their needs with convenient access to the region's most prestigious experts and innovative treatments and technologies.

As a part of our organization, we currently offer the following benefits:

* Competitive starting wages (DOE) and training to grow within the company
* Paid Time Off (PTO)
* Health/Dental/Vision Insurance
* Flexible health spending accounts (FSA)
* Matching 401(k) and 457(b) Retirement Programs
* Tuition Assistance for career growth and development
* premium account for additional support with children, pets, dependent adults, and household needs
* Employee Assistance Program (EAP) for you and your family
* Voluntary Protection: Group Accident, Critical Illness, and Identify Theft
* Adoption Assistance
* Wellness Program

Responsibilities

Franciscan Medical Group is currently seeking a full-time completely Remote Coder II for the Franciscan Coding department. Medical Specialty coding experience preferred. Position is for professional fee coding. No weekends or major holidays required.

Job Summary

The coding function ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. The primary function of this position is to perform ICD-9-CM, CPT and HCPCS coding for reimbursement through documentation review as well as abstracting billable services from documentation to capture missed revenue. The employee reviews, analyzes, and codes diagnostic and procedural information as supported by documentation in accordance with Medicare, Medicaid, and private insurance guidelines. S/he is responsible for timely, accurate, and comprehensive review of services. The coder is responsible for identifying and reporting compliance concerns that would place the organization at risk for fraudulent billing and works with the coder coordinators to identify billing trends and educational opportunities.

Essential Duties:

* Abstracts, assigns and sequences ICD-9-CM/CPT/HCPCS codes to diagnoses and procedures as supported by documentation. Assures the final diagnoses and operative procedures as stated by the physician are valid and coded to the highest level of specificity. Abstracts all necessary information from documentation to identify secondary complications and co-morbid conditions.
* Meets FMG Production standards for coding procedures.
* Meets FMG Quality standards per the Coding Audit and Monitoring process.
* Follows all Coding department policies and procedures.
* Understands and applies changes in the external regulatory environment, third party reimbursement agencies, and stays current with coding updates ensuring clean claims are Performs a comprehensive review of the documentation to assure the presence of all component parts such as: patient and record identification, signatures and dates where required and other necessary data. submitted for adjudication.
* Analyses, trends, and identifies front end edits based on denied claims. Correct or compose appeal letters when appropriate. Works closely with the insurance follow-up department.
* Performs coding reviews based on customer billing disputes. Works closely with the customer service department providing recommended feedback information regarding the disputed claims.
* Performs related duties as required.

Qualifications

Education/ Work Experience:

Two years of coding experience using CPT and ICD-9-CM or equivalency.

Licensure/Certifications:

Certified Professional Coder Apprentice (CPC-A), (CPC) (AAPC) or Certified Coding Associate (CCA), (CCS, CCS-P) (AHIMA) required. The incumbent is expected to enroll in continuing education courses to maintain certification.

Remote Coder II

Common Spirit

Tacoma Washington

United States

Information Technology

(No Timezone Provided)

Overview

In 2020, united in a fierce commitment to deliver the highest quality care and exceptional patient experience, Virginia Mason and CHI Franciscan Health came together as natural partners to build a new health system centered around the patient: Virginia Mason Franciscan Health. Our combined system builds upon the scale and expertise of our nearly 300 sites of care, including 11 hospitals and nearly 5,000 physicians and providers. Together, we are empowered to make an even greater impact on the health and well-being of our communities.

CHI Franciscan and Virginia Mason are now united to build the future of patient-centered care across the Pacific Northwest. That means a seamlessly connected system offering quality care close to home. From basic health needs to the most complex, highly specialized care, our patients can count on us to meet their needs with convenient access to the region's most prestigious experts and innovative treatments and technologies.

As a part of our organization, we currently offer the following benefits:

* Competitive starting wages (DOE) and training to grow within the company
* Paid Time Off (PTO)
* Health/Dental/Vision Insurance
* Flexible health spending accounts (FSA)
* Matching 401(k) and 457(b) Retirement Programs
* Tuition Assistance for career growth and development
* premium account for additional support with children, pets, dependent adults, and household needs
* Employee Assistance Program (EAP) for you and your family
* Voluntary Protection: Group Accident, Critical Illness, and Identify Theft
* Adoption Assistance
* Wellness Program

Responsibilities

Franciscan Medical Group is currently seeking a full-time completely Remote Coder II for the Franciscan Coding department. Medical Specialty coding experience preferred. Position is for professional fee coding. No weekends or major holidays required.

Job Summary

The coding function ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. The primary function of this position is to perform ICD-9-CM, CPT and HCPCS coding for reimbursement through documentation review as well as abstracting billable services from documentation to capture missed revenue. The employee reviews, analyzes, and codes diagnostic and procedural information as supported by documentation in accordance with Medicare, Medicaid, and private insurance guidelines. S/he is responsible for timely, accurate, and comprehensive review of services. The coder is responsible for identifying and reporting compliance concerns that would place the organization at risk for fraudulent billing and works with the coder coordinators to identify billing trends and educational opportunities.

Essential Duties:

* Abstracts, assigns and sequences ICD-9-CM/CPT/HCPCS codes to diagnoses and procedures as supported by documentation. Assures the final diagnoses and operative procedures as stated by the physician are valid and coded to the highest level of specificity. Abstracts all necessary information from documentation to identify secondary complications and co-morbid conditions.
* Meets FMG Production standards for coding procedures.
* Meets FMG Quality standards per the Coding Audit and Monitoring process.
* Follows all Coding department policies and procedures.
* Understands and applies changes in the external regulatory environment, third party reimbursement agencies, and stays current with coding updates ensuring clean claims are Performs a comprehensive review of the documentation to assure the presence of all component parts such as: patient and record identification, signatures and dates where required and other necessary data. submitted for adjudication.
* Analyses, trends, and identifies front end edits based on denied claims. Correct or compose appeal letters when appropriate. Works closely with the insurance follow-up department.
* Performs coding reviews based on customer billing disputes. Works closely with the customer service department providing recommended feedback information regarding the disputed claims.
* Performs related duties as required.

Qualifications

Education/ Work Experience:

Two years of coding experience using CPT and ICD-9-CM or equivalency.

Licensure/Certifications:

Certified Professional Coder Apprentice (CPC-A), (CPC) (AAPC) or Certified Coding Associate (CCA), (CCS, CCS-P) (AHIMA) required. The incumbent is expected to enroll in continuing education courses to maintain certification.