StreamlineMD

SUMMARY

The CIRCC Coder/Auditor will accurately review and evaluate patient medical records to ensure proper coding occurs. This position will also be responsible for reviewing codes related to denials from payers. This coder will be required to run reports from company used systems and analyze the data provided.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG.
• Validates admit orders and discharge dispositions.
• Works from assigned coding queue, completing and re-assigning accounts correctly.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
• All other work duties as assigned by Manager

QUALIFICATIONS

• Completion of associate's or bachelor’s degree in Health Information Management or related field.
• Must have CIRCC Certification
• Strong written and verbal communication skills.
• Able to work independently in a remote setting, with little supervision.
• 3-5 years of Inpatient and/or Outpatient coding experience in an acute care setting.
• Expert knowledge of ICD and PCS coding systems and MS-DRGs.
• Expert knowledge and understanding of anatomy, physiology, medical terminology, and pathophysiology (disease process, surgical terminology and pharmacology) and can apply these sciences to accurately assign codes to complex cases.
• Expert knowledge of pharmacology indications for drug usage and related adverse reactions.
• Expert knowledge of coding workflow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems.
• May need advanced knowledge of cardiac body structure and function as well as coronary and peripheral vascular anatomy.
• Ability to work with a high degree of accuracy and give attention to detail of the repetitive nature.
• Ability to work independently, takes initiative, and work collaboratively with others.
• Ability to meet deadlines while working in a fast-paced environment, and to exercise independent judgment.

LICENSES, REGISTRATIONS, OR CERTIFICATIONS

• Certified Coding Specialist (CCS) (AHIMA)
• Certified Professional Coder (CPC) (AAPC)
• Certified Interventional Radiology and Cardiovascular Coder (CIRCC) (AAPC)

Job Type: Full-time

Expected hours: 40 per week

Work setting: Remote