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Professional Denial Coder-REMOTE

Company: Carilion Clinic
Location: Roanoke
Posted on: January 27, 2023

Job Description:

Roanoke ,VA, US, 24011

Job Summary

Welcome to a promising future with this unique career opportunity. At Carilion Clinic, our team accurate medical record documentation in a forward-thinking environment. You will thrive through extensive training, supportive leaders and potential for advancement. Carilion offers comprehensive benefits, paid time off, and tuition options. Join a team where your skills and ideas will make a difference in the health of our patients and the communities we live in.

The Coder position reviews clinical documentation and diagnostic results on Ambulatory records as appropriate to extract data and applies appropriate ICD-10 CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance.

The job duties of the Coder include, but are not limited to, the following:

  • Coordinates resolution of discrepancies in clinical charge coding through Revenue Auditor Division of Revenue Cycle Management.
  • Consults with physicians to improve or clarify medical record documentation for complete, accurate and compliant coding.
  • Extracts required information from source documentation and enters into encoder.
  • Identifies and reconciles patients' pre-surgical and post-surgical visits with their Outpatient Diagnostic Accounts and appropriately combine the coding and billing of the accounts.
  • Maintains working knowledge of 3M CRS, 3M 360 Encompass, 3M Standalone, and Cornerstone and Elsevier software.
  • Assist in implementing solutions to reduce back-end billing errors.
  • Maintains knowledge of Federal and Private Sector coding and billing requirements as they apply to the Ambulatory Surgery setting.
  • May assist with Outpatient Diagnostic Coding or Emergency dept. coding as needed.

    THIS POSITION REQUIRES A CPC

    Minimum Qualifications

    Education: High School education required: college degree preferred. Medical Terminology and Physiology Anatomy required.

    Experience: The successful internal candidate for Ambulatory Surgery will have a minimum of 1.5 years combined experience in Outpatient and ED Coding, with a consistent accuracy rating of 96% or better. External Candidates must have previous Outpatient, ED experience, with prior Ambulatory Surgery experience preferred. Basic computer skills required .Experience in ICD10 and CPT coding;

    Licensure/Certification: RHIT, RHIA, CPC, CCA, CCS, or CPC-H required.

    About Carilion

    This is Carilion Clinic ...

    An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

    Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

    Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

    Requisition Number: 137861
    Employment Status: Full time
    Location: CASB - Carilion Administrative Services Building
    Shift: Day
    Shift Details: Monday - Friday
    Recruiter Email: kagonce@carilionclinic.org
    For more information, contact the HR Service Center at 1-800-599-2537.

    Equal Opportunity Employer

    Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

    Carilion Clinic is a drug-free workplace.



    Please see job description



    PI201938613

Keywords: Carilion Clinic, Roanoke , Professional Denial Coder-REMOTE, Other , Roanoke, Virginia

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