Job: Coder- Hospital, Physician, CCS

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Jobing Description


Coder- Hospital, Physician, CCS

Location:Southeastern Regional Medical Center
Region:Atlanta, GA
Department:HIM
Employment Status:Full time
Shift Hours / Days:These positions are located here at our Southeastern SIte in Newnan, GA
Hours / Pay Period:
Position ID:E.SERMC 600
Job Function:Support Services

Description

CANCER TREATMENT CENTERS OF AMERICA (CTCA)

Cancer Treatment Centers of America (CTCA) is a national network of regional, destination hospitals specializing in complex and advanced-stage cancer care. The CTCA model integrates state-of-the-art treatments and technologies with nutrition, naturopathic medicine, mind-body medicine, oncology rehabilitation and spiritual support. CTCA employs over 3,000 talented Stakeholders (employees) who create, deliver and continually improve the Mother Standard of Care® based upon what cancer patients need and value. CTCA Stakeholders form the backbone of the CTCA experience; and their energy, and passion, creates a home of hope and healing to cancer patients across America.

CTCA's newest hospital is located in Newnan, Georgia which is located in the Metro Atlanta region. It is a 226,000-square-foot, all digital facility focused exclusively on treating cancer. It includes 50 beds, ICU rooms, surgical suites, state-of-the-art radiation and infusion therapy departments, outpatient clinic rehabilitation and physical therapy department and onsite residential accommodations for outpatients and their families. We are currently seeking dedicated Stakeholders to help us fulfill our Mission and provide the Mother Standard of Care® to patients in the Southeast.

OVERVIEW

Facility Coder

Documentation assessment and review of medical record documentation and charges on facility accounts in order to assign the appropriate ICD9-CM diagnosis and procedure codes, as well as CPT4 procedure codes to individual health information for data retrieval, analysis and claims processing. DRG and APC assignment analysis to accurately reflect the diagnosis and procedures documented. Accurate abstracting of clinical data to meet regulatory and compliance requirements. Verifying key indicators to the finance software of the electronic health record. In absence of appropriate documentation, will seek out or query physicians for complete clarification. Assist management with special projects as needed, which may include training and education.

  • Minimum of two years acute and ambulatory coding experience required.
  • Successful completion of nationally accredited coding certificate program of Associate Degree required. AHIMA or AAPC coding credential required.
  • Working knowledge of the revenue cycle, chargemaster driven vs. manual code assignment, revenue codes, the impact the position holds in keeping accounts receivable days at or below an administratively defined level.
  • Knowledge of cancer specialty medicine.
  • Knowledge of medical record content adequate to support code assignment.
  • Adherence to Coding Clinic guidelines and ongoing education for ICD10-CM & PCS or other coding guidance for correct coding. Internal quality review audits.
  • Experience coding manually and with encoding software.

Physician Coder

Assigns CPT codes and ICD-9-CM codes for Inpatient and Outpatient physician services, in accordance with legal requirements, compliance standards, official coding rules, conventions, guidelines and definitions by applying the use of uniform coding standards to enhance data quality and the integrity of the health record. Assists physicians with proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as related to E & M coding guidelines. Provides ongoing education to physicians and others as it relates to identified issues with coding and billing, as well as, assisting with claims corrections and denial resolution.

  • Current AHIMA or AAPC credential (ex. CCS, CCS-P, RHIA, RHIT, CPC, etc.)
  • Minimum 3- 5 years experience in direct coding environment preferably in a hospital outpatient setting preferred
  • Multi-specialty physician billing experience emphasis in billing, coding and insurance processes preferred
  • Adherence to Coding Clinic guidelines and ongoing education for ICD10-CM or other coding guidance for correct coding. Internal quality review audits.
  • Evaluation and management coding experience