Coder II – OP Physician Coding (Ortho Specialty) Baylor Scott & White Health. . Coder II – OP Physician Coding (Ortho Specialty). . Remote, United States. . Full Time. . JOB SUMMARY. . . The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding.. . The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery.. . For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties.. . . . Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.. . Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.). . . . The Coder 2 will abstract and enter required data.. . . WORK MODEL. . 100% Remote. . SALARY. . The pay range for this position is $26.27 (entry-level qualifications) – $39.41 (more experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior coding experience.. . ESSENTIAL FUNCTIONS OF THE ROLE. . . Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.. . Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.. . Communicates with providers for missing documentation elements and offers guidance and education when needed.. . Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.. . Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.. . Reviews and edits charges.. . . KEY SUCCESS FACTORS. . . Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.. . Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.. . Sound knowledge of anatomy, physiology, and medical terminology.. . Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.. . Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.. . Ability to interpret health record documentation to identify procedures and services for accurate code assignment.. . Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.. . . Must have one of the following Certifications:. . . Registered Health Information Administrator (RHIA). . Registered Health Information Technologist (RHIT). . Certified Coding Specialist (CCS). . Certified Coding Specialist Physician-based (CCS-P). . Certified Professional Coder (CPC). . Certified Outpatient Coder (COC). . Certified Inpatient Coder (CIC). . Certified Interventional Radiology Cardiovascular Coder (CIRCC). . . BENEFITS. . Our competitive benefits package includes the following:. . . Immediate eligibility for health and welfare benefits. . 401(k) savings plan with dollar-for-dollar match up to 5%. . Tuition Reimbursement. . PTO accrual beginning Day 1. . . Note: Benefits may vary based upon position type and/or level. . QUALIFICATIONS. . . EDUCATION – H.S. Diploma/GED Equivalent. . EXPERIENCE – 2 Years of Experience. . CERTIFICATION/LICENSE/REGISTRATION – : Must have ONE of the coding certifications as listed:. . Cert Coding Specialist (CCS). . Cert Coding Specialist-Physician (CCS-P). . Cert Inpatient Coder (CIC). . Cert Interv Rad CV Coder (CIRCC) – Cert Outpatient Coder (COC). . Cert Professional Coder (CPC). . Reg Health Info Administrator (RHIA). . Reg Health Information Technician (RHIT).. . . . .
Coder II – OP Physician Coding (Ortho Specialty) at Baylor Scott & White Health