The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS CPT or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters.
Responsibilities
Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the interdepartmental coding assistance as needed to determine accurate coding methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as but not limited to Center for Medicare Services (CMS) publications Coding Clinic CPT Assistant optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring training facilitation of charges through the claim scrubber system assisting with various patient or payor related charge/account inquiries research on various coding/billing related topics as requested by various sources internal and external to the organization etc.).Serves as an expert resource regarding CPT HCPCS ICD-10-CM all other necessary coding systems and regulatory guidelines for all internal and external as liaison for coding and billing staff to ensure accurate charge any documentation and coding improvement needs based upon review for maintaining coding certification knowledge and skills to successfuly perform job dutiesPerforms provider and peer coding audits as requested Assist with monitoring of internal controls for coding and billing. Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel.
Qualifications
Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
Education: High School Diploma or G.E.D
Work Experience:
Knowledge of ICD-10-CM CPT and HCPC coding rules and guidelines for code application ability to work with others collaboratively and communicate efficiently both orally and in writing. Knowledge of medical science anatomy and physiology required. Ability to perform computer data entry. Experience with encoders or other coding software packages preferred.
Carle Health Company Overview
Find it here.
Discover the job the career the purpose you were meant for. At Carle Health were committed to fostering a workplace where every team member feels valued respected and empowered where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.
Our nearly 17000 team members and providers work together to support patient care across central and southeastern Illinois. Weve grown to include eight award-winning hospitals and a multispecialty provider group with more than 1500 doctors and advanced practice providers. Were developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine the worlds first engineering-based medical school and Methodist College. Carle BroMenn Medical Center Carle Foundation Hospital Carle Health Methodist Hospital Carle Health Proctor Hospital Carle Health Pekin Hospital and Carle Hoopeston Regional Health Center hold Magnet designations the nations highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race color sex age national origin religion sexual orientation gender identity status as a veteran and basis of disability or any other federal state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and if necessary the Department of Homeland Security with information from each new employees Form I-9 to confirm work authorization. For more information:
Salary Range
The compensation range for this position is $23.58per hour - $39.38per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including but not limited to the candidates experience qualifications location training licenses shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit
Required Experience:
IC
OverviewThe HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS CPT or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to en...
Overview
The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS CPT or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters.
Responsibilities
Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the interdepartmental coding assistance as needed to determine accurate coding methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as but not limited to Center for Medicare Services (CMS) publications Coding Clinic CPT Assistant optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring training facilitation of charges through the claim scrubber system assisting with various patient or payor related charge/account inquiries research on various coding/billing related topics as requested by various sources internal and external to the organization etc.).Serves as an expert resource regarding CPT HCPCS ICD-10-CM all other necessary coding systems and regulatory guidelines for all internal and external as liaison for coding and billing staff to ensure accurate charge any documentation and coding improvement needs based upon review for maintaining coding certification knowledge and skills to successfuly perform job dutiesPerforms provider and peer coding audits as requested Assist with monitoring of internal controls for coding and billing. Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel.
Qualifications
Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
Education: High School Diploma or G.E.D
Work Experience:
Knowledge of ICD-10-CM CPT and HCPC coding rules and guidelines for code application ability to work with others collaboratively and communicate efficiently both orally and in writing. Knowledge of medical science anatomy and physiology required. Ability to perform computer data entry. Experience with encoders or other coding software packages preferred.
Carle Health Company Overview
Find it here.
Discover the job the career the purpose you were meant for. At Carle Health were committed to fostering a workplace where every team member feels valued respected and empowered where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.
Our nearly 17000 team members and providers work together to support patient care across central and southeastern Illinois. Weve grown to include eight award-winning hospitals and a multispecialty provider group with more than 1500 doctors and advanced practice providers. Were developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine the worlds first engineering-based medical school and Methodist College. Carle BroMenn Medical Center Carle Foundation Hospital Carle Health Methodist Hospital Carle Health Proctor Hospital Carle Health Pekin Hospital and Carle Hoopeston Regional Health Center hold Magnet designations the nations highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race color sex age national origin religion sexual orientation gender identity status as a veteran and basis of disability or any other federal state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and if necessary the Department of Homeland Security with information from each new employees Form I-9 to confirm work authorization. For more information:
Salary Range
The compensation range for this position is $23.58per hour - $39.38per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including but not limited to the candidates experience qualifications location training licenses shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit
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