Medical Coder - Professional (Remote)

Sanford HealthMarshfield, WI
18hRemote

About The Position

The Medical Coder-Professional reviews, analyzes and assigns current international classification of disease (ICD) diagnosis codes, current procedural terminology (CPT) codes and other charges as appropriate to include, but not limited to, medical diagnostic, lab, pathology, other ancillary services, minor procedures and E/M coding based on clinical documentation for various practices in the hospital ER/outpatient/observation/inpatient and clinic settings. The Medical Coder-Professional understands and applies applicable medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes. This position may be trained on reviewing documentation for Hierarchical Condition Categories (HCC).

Requirements

  • Successful completion of the following courses per department procedures, within one year of hire: current international classification of diseases (ICD), current procedural terminology (CPT), healthcare procedure coding system (HCPCS) or the Coding Basics computer based training and medical terminology or Coding certification.
  • Experience working within medical field, medical records or current procedural terminology (CPT) and healthcare procedure coding system (HCPCS).
  • Coding certification awarded by the American Academy of Professional Coders (Certified Professional Coder (CPC)), American Health Information Management Association (Certified Coding Specialist (CCS)), or Certified Coding Specialist-Professional (CCS-P)), or Certified Risk Adjustment Coder (CRC)) when applicable, within three years of hire.
  • Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid.

Nice To Haves

  • Associate degree in Medical Billing and Coding, Health Information Management or related field.
  • Experience in physician/professional coding.
  • Coding certification awarded by the American Academy of Professional Coders (Certified Professional Coder (CPC)), American Health Information Management Association (Certified Coding Specialist (CCS)), or Certified Coding Specialist-Professional (CCS-P)), or Certified Risk Adjustment Coder (CRC) when applicable, at time of hire.

Responsibilities

  • reviews, analyzes and assigns current international classification of disease (ICD) diagnosis codes, current procedural terminology (CPT) codes and other charges as appropriate to include, but not limited to, medical diagnostic, lab, pathology, other ancillary services, minor procedures and E/M coding based on clinical documentation for various practices in the hospital ER/outpatient/observation/inpatient and clinic settings.
  • understands and applies applicable medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes.
  • may be trained on reviewing documentation for Hierarchical Condition Categories (HCC).
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