Coder III- Cardiology

General Summary

Collects 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 records and reports for quality assessment audit and billing purposes.

Duties and Responsibilities

Essential Functions:

• Performs chart audits reviewing for accuracy and compliance.
• Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) procedure codes ( CPT-4) and other services (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.
• Meets 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.

Qualifications

Minimum Education:

• High School Diploma or GED Required

Work Experience:

• 3 years 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 Outpatient Coder Upon Hire Required or
• Registered Health Information Technician Upon Hire Required and
• Certified Anesthesia and Pain Management Coder Upon Hire Required or
• Certified Cardiology Coder Upon Hire Required or
• Certified ENT Coder Upon Hire Required or
• Certified Hematology and Oncology Coder Upon Hire Required or
• Certified Interventional Radiology Cardiovascular Coder Upon Hire Required or
• Certified Pediatric Coder Upon Hire Required or
• Certified Rheumatology Coder Upon Hire Required or
• Certified Urology Coder Upon Hire Required or
• Radiology Certified Coder Upon Hire Required or
• Certified Cardiovascular and Thoracic Surgery Coder Upon Hire Required or
• Certified Gastroenterology Coder Upon Hire Required or
• Certified General Surgery Coder Upon Hire Required or
• Certified Professional Coder Dermatology Upon Hire Required or
• Certified Obstetrics Gynecology Coder Upon Hire Required or
• Certified Ophthalmology Coder Upon Hire Required or
• Certified Orthopedic Surgery Coder 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 ()