Job DescriptionGeneral SummaryCollects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical documentation and reports for quality assessment, audit, and billing purposes.
ResponsibilitiesDuties and ResponsibilitiesEssential Functions: - Performs chart audits, reviewing for accuracy and compliance.
- Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) procedure codes (CPT), and other items (HCPCS) for final billing.
- Research and process invoice corrections.
- Reviews and analyzes coding/billing procedures.
- Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.
- Coordinates and implements reimbursement improvement activities with staff and providers.
- Adheres to WellSpan Coding Compliance Guidelines
Common Expectations: - Maintains job specific standards and expectations relative to productivity and quality.
- Prepares and maintains appropriate documentation as required.
- Maintains professional growth and development.
- Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
QualificationsQualificationsMinimum Education: - High School Diploma or GED Required
Work Experience: - 1 year Relevant experience. Required
Licenses: - Certified Professional Coder Upon Hire Required or
- Certified Coding Specialist - Physician Based Upon Hire Required or
- Certified Medical Coder Upon Hire Required or
- Certified Professional Coder Apprentice within 1 year Required or
- Certified Outpatient Coder Upon Hire Required or
- Registered Health Information Technician Upon Hire Required or
- Certified Home Care Coding Specialist - Diagnosis Upon Hire Required
Courses and Training: - Certified Home Care Coding Specialist-Diagnosis (CHCS-D) - Only required for VNA Home Health Services. Upon Hire Required
Knowledge, Skills, and Abilities: - Knowledge of ICD-10-CM, CPT-4, and HCPCS coding.
- Basic computer skills.
Benefits Offered: - Comprehensive health benefits
- Retirement savings plan
- Paid time off (PTO)
- Education assistance
- Financial education and support, including DailyPay
- Expanded Paid Parental Leave
For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)