Job Description

Overview 3 days ago Be among the first 25 applicants Job Family Health Travel Required None Clearance Required Ability to Obtain NACI The Multispecialty Surgery Coder II will code for Multispecialty Surgery physicians primarily Single Path Coding. Multispecialty surgical coding experience (e.g., Trauma, Urology, ENT, Plastics, GenSurg, OB/GYN, Cardiovascular, Interventional Radiology, etc.). Ability to extract data and apply ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding-related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines. This position is full time and 100% remote. Responsibilities Demonstrates the ability to perform quality surgical coding and multispecialty chart types as assigned Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing Assures that all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards Achieves and maintains 97% accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews either within the facility Maintains average productivity standards as specified Works the review queue daily to ensure all charts in the queue are worked and any corrections are communicated to the facility if necessary Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process. See facility guidelines Downtime is reported immediately to the administrative staff to ensure turnaround is met Works with IQC staff to ensure quality standards are met for each facility Provides accurate answers to physicians’/hospital’s coding and/or billing questions within eight hours of request Responsible for coding or pending every chart placed in their queue within 24 hours Notifies administrative staff if they cannot meet the 24-hour turnaround standard Coders check the Guidehouse email system at least every two hours during coding sessions Maintain current professional credentials while working for Guidehouse Become familiar with the Guidehouse coding website and use it as a daily tool Maintain HIPAA compliant workstations (reference HIPAA workstation policy) Review and adhere to the coding division policy and procedure manual content Collaborate with the facility’s coding and billing team to maximize efficiency and reimbursement Communicate problems or coding principle discrepancies to their supervisor immediately Professional email communication is expected (reference email policy) What You Will Do Demonstrates the ability to perform quality E/M coding and surgical coding on assigned Hospitalist encounters Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing Ensures services documented in the chart are coded with appropriate ICD-10 and CPT codes; if documentation is lacking, obtains proper documentation per facility standards Achieves and maintains 97% accuracy in coding with high productivity Maintains average productivity standards as specified Manages the review queue daily and communicates corrections to the facility as needed Corrects re-bill issues and communicates with the facility daily per policy Reports downtime to ensure turnaround goals are met Collaborates with IQC staff to uphold quality standards Provides timely answers to coding/billing questions Ensures all charts in queue are coded within 24 hours Notifies administration if the 24-hour target cannot be met Checks Guidehouse email during sessions every two hours Maintains current credentials and uses Guidehouse resources to correctly code and abstract for each facility Maintains HIPAA compliant workstations Follows coding division policies and procedures and works with team for efficiency Professional communication in emails is expected What You Will Need High School Diploma/GED One of the following certifications: CPC, RHIT, RHIA, or CCS Successful completion of a recognized medical coding training program EMR experience Must maintain credential throughout employment What Would Be Nice To Have Additional certifications: CEMC or NAMAS CEMA Ability to work independently, multi-task, and interface with all levels of personnel and clients Knowledge of Federal & State coding regulations, DHA or Military Health experience Experience with multiple EMR and/or Practice Management systems Single path coding experience The annual salary range for this position is $46,000.00-$76,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What We Offer Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits Include Medical, Rx, Dental & Vision Insurance Personal and Family Sick Time & Company Paid Holidays Discretionary variable incentive bonus eligibility Parental Leave 401(k) Retirement Plan Basic and Supplemental Life Insurance Health Savings Account and Flexible Spending Accounts Disability coverage Tuition Reimbursement and Learning Opportunities Skills Development & Certifications Employee Referral Program Corporate Sponsored Events & Community Outreach Emergency Back-Up Childcare Program About Guidehouse Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you require an accommodation for employment opportunities, contact Guidehouse Recruiting at 1-571-633-1711 or RecruitingAccommodation@guidehouse.com. All information provided will be kept confidential as required to provide needed accommodation. All recruitment communications will come from Guidehouse email domains. Do not respond to messages from other domains. Guidehouse will never charge a fee or request money transfers at any stage of the recruitment process. Never provide banking information to third parties. If you suspect a scam, report to Guidehouse’s Ethics Hotline or contact recruiting@guidehouse.com. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse. #J-18808-Ljbffr Guidehouse

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