Professional Coder - Remote

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Under the direct supervision of the Professional Coding and CDI Manager, the Professional Coder provides timely and accurate clinical and administrative data to ensure optimal reimbursement for professional services performed at acute care, inpatient, outpatient, urgent care, or physician offices to meet organizational needs. The position is responsible for ICD
10CM
diagnosis, CPT-4 coding and charge entry related to coding, documentation, billing and reimbursement issues. The coder works as a liaison between centralized billing staff, practice managers and office staff and may be required to meet with office staff and physicians as needed. The position monitors the quality of coding and stays current on professional coding changes, compliance issues, billing, documentation, reimbursement and interpretation of coding/documentation rules.

The coder consistently provides a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience, demonstrating a patient‑centered care approach.

• Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior.
• Codes accounts in work lists appropriately based on priority.
• Adheres to coding rules for coding professional services for multiple specialties (Neurosurgery, Pediatric, Physical Medicine & Rehab, Orthopedic, Pulmonology, Wound Management, Professional Hospital Services, Ophthalmology, Urology, Gastroenterology, etc.), Urgent Care, Occupational Health, Family Practice, Internal Medicine and others to ensure quality coding based upon documentation within the patient record.
• Utilizes Select Coder software applications, which includes all applicable online tools and references in the assignment of ICD-CM diagnosis and procedure codes.
• Meets and sustains productivity metrics established by the Manager while maintaining a high accuracy rate.
• Investigates and tracks unbilled accounts to determine reason for incomplete status and works with appropriate resources for completion.
• Queries physicians and other healthcare providers when there is conflicting, incomplete, perguntas ambiguous information in the health record. Complies with industry standards “Guidelines for Achieving a Compliant Query Practice” when composing queries.
• Communicates in a positive, cooperative, timely, and accurate manner with providers, office staff and others on all missing or unclear information, including diagnoses, procedure codes, acuity levels, test results and appropriate signatures for chart completion.
• Actively contributes to morale and teamwork of the staff and facility and always presents a positive attitude and patient‑minded vision, with patient satisfaction as the continuing goal.
• Completes assigned tasks in an appropriate timeframe and adjusts to increased workload.
• Problem solves and brings concerns to Manager for resolution when appropriate.
• Keeps abreast