About this role
Role Overview
- Review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types
- Validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record
- Perform documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements
- Interact with client staff and providers for data integrity, clarification, and assistance in understanding coding practices
- Maintain strict patient and provider confidentiality in compliance with HIPAA Guidelines
- Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required
- Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing
- Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials
Requirements
- An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential.
- Two years of recent and relevant hands-on coding experience
- Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets
- Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards
- Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files, (Outlook, Word, Excel)
- Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers
- Recent and relevant experience in an active production coding environment strongly preferred
- Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience
- Experience using EPIC and Optum Facility and Profee experience a plus