Job Description

Certified Appeals Coder  

6 Month CTH (Onsite)  

Start Date: ASAP  

Location: Louisville, KY  

Requirements: 

High School education or GED required.

Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.

Three years direct coding experience and in depth Coding and HIPAA regulations for physician offices, preferred.

Ongoing coding guideline knowledge is required

Advance knowledge of medical terminology, abbreviations, techniques and surgical procedures

Advance knowledge of medical codes involving selections of most accurate and description code using the ICD-9-CM, ICD-10-CM, CPT, HCPCS, and IHS coding conventions.

Advance knowledge of medical codes involving selection of most accurate and descriptive code using the CPT codes for billing of third party resources

Skill in correlating generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct ICD-9-CM, ICD-10-CM code

Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.

Requires the knowledge of the business use of computer hardware and software to ensure the effectiveness and quality of the processing and presentation of data

Strict compliance with all coding guidelines at all times.

Working in a highly accurate and yet efficient manner.

Strict attention to detail in both coding and EMR entries.

Application

Current CBO employees must apply to internal remote position in order to be considered

Positions will be selected based in order of the following criteria:

Metrics

Attendance

Disciplinary action

Current employees must meet the following criteria in order to be considered for remote positions within the CBO:

90 days of consistent achievement of/or exceeding metric standards

No attendance or disciplinary actions within previous 6 months

Able to work independently and manage time

Candidates upon hire will complete an electronic I-9 verification.

Only those candidates whose experience best meets our requirements will be contacted.

University of Louisville Physicians is an Equal Opportunity Employer.

Current UofL Physicians employees must follow the UofL Physicians Internal Transfer Policy.

Responsibilities:  

 Essential Functions:

Coding (60% Weight)

Obtain copies of chart notes, reports, electronic medical records, and any other necessary records for purpose of review

Comply and communicate deficiencies that impact the billing process.

Review documentation needed to clarify or complete the information required for compliant coding and billing of services performed.

Abstract patient evaluation and management services, including consultations, and bedside procedures for the purpose of selection of the appropriate HCPCS code(s), ICD-9 code(s), and modifier(s)

Follow production and quality standards for coders as established.

Compliance (20% Weight)

Ensure that documentation meets the Teaching Physician Rules as mandated by CMS and ULP policies prior to release of a code for billing

Ensure that documentation for Advanced Practice Providers meets the payer specific rules prior to release of a code for billing

Communication/Education (10% Weight)

Develop daily/weekly communication with providers.

Provide comments/suggestions relative to weak areas identified in the coding reviews.

Provide trending deficiencies to CBO Manager and Compliance Educator as appropriate.

Responds in a timely manner to questions from providers, department representatives.

Maintain compliance with rules and regulations regarding coding.

Constant reviews of incoming Fee Tickets to ensure compliance standards are met.

Ability to work within a team environment and meet monthly goals.

Other duties as assigned.

For over 16 years, Medasource has established and maintained relationships that are designed to meet your IT staffing needs. Whether it’s contract, contract-to-hire, or permanent placement work, we customise our search based upon your company’s unique initiatives, culture and technologies. With our national team of recruiters placed at 21 major hubs around the nation Medasource finds the people best-suited for your business. When you work with us, we work with you. That’s the Medasource promise.

Medasource is an equal opportunity employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, lactation and related medical conditions), gender identity or gender expression, sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances.

Benefits & Perks:

Medasource offers competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee’s needs. We offer a 401k plan that includes a company match and is fully vested after you become eligible, paid time off, sick time, and paid company holidays. We also offer an Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching, etc.

Pay Disclaimer:

The pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

JO-2407-147938

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