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Kolter Solutions is seeking Oncology Medical Coders.
Location: Remote
Job Description
The Health Information Management ( "HIM ) Coder reviews, analyzes and codes diagnoses and procedures information that uses ICD-10-CM and ICD-10 PCS , and/or Diagnosis Related Group ( "DRG coding "). The coding function is a primary source for data and information used in health care today. It promotes provider/ patient continuity, accurate database information and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, federal regulations and accreditation guidelines.
Job Requirements
High School/GED AND seven (7) years health care inpatient coding experience with ICD-10-CM, CPT and HCPCS classification systems for evaluation management coders. One Certification is required.
(OR)
AS/AA degree in HIM or other related health field AND five (5) years health care inpatient coding experience with ICD-10-CM, CPT and HCPCS classification systems for evaluation management coders. One Certification is required.
(OR)
BS/BA degree in HIM or other related health field AND three (3) year health care inpatient coding experience with ICD-10-CM, CPT and HCPCS classification systems for evaluation management coders. One Certification is required.
" Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties.
" Experience in coding hospital inpatient electronic medical records.
" Excellent communication and interpersonal skills.
" Experience with automated patient care and coding systems. (Cerner Electronic Health Record, OPTUM Enterprise Computer Assisted Coding and encoder, Soarian financial billing system.)
Competence with MS Office software (Word, Excel, Zoom and Outlook).
" Knowledge of American Healthcare Association ( "AHA ") coding clinic guidelines, ICD10CM and ICD10PCS
coding guidelines, Medicare Severity Diagnosis Related Groupers ( "MSDRG "), All Patient Refined Diagnosis Related Groupers ( "APRDRG "), Center fro Medicare & Medicaid Services ( "CMS ") guidelines, National Center for Healthcare Statistics ( "NCHS "), American Health Information Management Association ( "AHIMA ") and American Academy of Professional Coders ( "AAPC ") code of ethics.
Experience with coding oncology related services.
Competence in electronic medical record, computer assisted coding system and encoder
Job Duties:
Determine the proper codes for all billable services utilizing ICD-10-CM & PCS code sets for inpatient assignment of diagnoses and procedures in the OPTUM Enterprise Computer Assisted Coding System. Utilizing the medical records in accordance with coding compliance with established coding clinic guidelines, federal regulations and accreditation code of ethics.
Code for 100% of medical records following discharge with 95% coding accuracy as demonstrated by coding audits and productivity of 1 encounter per hour.
Alerts Manager of HIM coding or Director of HIM in identifiying and analzying problems or issues that prevent the accurate and timely coding of medical records.
Maintain credentials/certification and education to stay current with all coding of ICD10CM and ICD10 PCS codes and Diagnosis Related Grouper along with and skills to accurately abstract and code medical records.
Utilize time management skills to ensure that all codes are entered and coding edits are handled prior to month end.
Knowledge and expertise necessary to perform the query process to clarify and confirm with clinical documentation. Knowledge and expertise of All ICD10CM and ICD10PCS coding guidelines, Patient Refined Diagnosis Related Groupers ( "APR DRG ") and Medicare Severity Diagnosis Related Grouper ( "MS DRG "). This must include AHA coding clinic guidelines, Severity of Ilnness ( "SOI "), Risk of Morality ( "ROM "), Complication or Comorbidity ( "CC ") or a Major Complication or Comorbidity ( "MCC ").
Kolter Solutions is a leading professional staffing company based in Central Florida. We place highly skilled individuals on a contract, contract-to-hire and direct hire positions at clients nationwide.
Kolter Solutions has proudly been recognized as the "2023 Best Places to Work by the Orlando Business Journal and "2022 Best Staffing Companies to Work for " by Staffing Industry Analysts (SIA). We are also in the Fast 50 2022 Fastest growing companies in Central Florida!
We offer:
Kolter Solutions is an Equal Opportunity Employer. We believe in hiring a diverse workforce and sustaining an inclusive, people-first culture. We are committed to non-discrimination on any protected basis, such as disability and veteran status, or any other basis covered under federal, state or local applicable law.
Location: Remote
Job Description
The Health Information Management ( "HIM ) Coder reviews, analyzes and codes diagnoses and procedures information that uses ICD-10-CM and ICD-10 PCS , and/or Diagnosis Related Group ( "DRG coding "). The coding function is a primary source for data and information used in health care today. It promotes provider/ patient continuity, accurate database information and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, federal regulations and accreditation guidelines.
Job Requirements
High School/GED AND seven (7) years health care inpatient coding experience with ICD-10-CM, CPT and HCPCS classification systems for evaluation management coders. One Certification is required.
(OR)
AS/AA degree in HIM or other related health field AND five (5) years health care inpatient coding experience with ICD-10-CM, CPT and HCPCS classification systems for evaluation management coders. One Certification is required.
(OR)
BS/BA degree in HIM or other related health field AND three (3) year health care inpatient coding experience with ICD-10-CM, CPT and HCPCS classification systems for evaluation management coders. One Certification is required.
" Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties.
" Experience in coding hospital inpatient electronic medical records.
" Excellent communication and interpersonal skills.
" Experience with automated patient care and coding systems. (Cerner Electronic Health Record, OPTUM Enterprise Computer Assisted Coding and encoder, Soarian financial billing system.)
Competence with MS Office software (Word, Excel, Zoom and Outlook).
" Knowledge of American Healthcare Association ( "AHA ") coding clinic guidelines, ICD10CM and ICD10PCS
coding guidelines, Medicare Severity Diagnosis Related Groupers ( "MSDRG "), All Patient Refined Diagnosis Related Groupers ( "APRDRG "), Center fro Medicare & Medicaid Services ( "CMS ") guidelines, National Center for Healthcare Statistics ( "NCHS "), American Health Information Management Association ( "AHIMA ") and American Academy of Professional Coders ( "AAPC ") code of ethics.
Experience with coding oncology related services.
Competence in electronic medical record, computer assisted coding system and encoder
Job Duties:
Determine the proper codes for all billable services utilizing ICD-10-CM & PCS code sets for inpatient assignment of diagnoses and procedures in the OPTUM Enterprise Computer Assisted Coding System. Utilizing the medical records in accordance with coding compliance with established coding clinic guidelines, federal regulations and accreditation code of ethics.
Code for 100% of medical records following discharge with 95% coding accuracy as demonstrated by coding audits and productivity of 1 encounter per hour.
Alerts Manager of HIM coding or Director of HIM in identifiying and analzying problems or issues that prevent the accurate and timely coding of medical records.
Maintain credentials/certification and education to stay current with all coding of ICD10CM and ICD10 PCS codes and Diagnosis Related Grouper along with and skills to accurately abstract and code medical records.
Utilize time management skills to ensure that all codes are entered and coding edits are handled prior to month end.
Knowledge and expertise necessary to perform the query process to clarify and confirm with clinical documentation. Knowledge and expertise of All ICD10CM and ICD10PCS coding guidelines, Patient Refined Diagnosis Related Groupers ( "APR DRG ") and Medicare Severity Diagnosis Related Grouper ( "MS DRG "). This must include AHA coding clinic guidelines, Severity of Ilnness ( "SOI "), Risk of Morality ( "ROM "), Complication or Comorbidity ( "CC ") or a Major Complication or Comorbidity ( "MCC ").
Kolter Solutions is a leading professional staffing company based in Central Florida. We place highly skilled individuals on a contract, contract-to-hire and direct hire positions at clients nationwide.
Kolter Solutions has proudly been recognized as the "2023 Best Places to Work by the Orlando Business Journal and "2022 Best Staffing Companies to Work for " by Staffing Industry Analysts (SIA). We are also in the Fast 50 2022 Fastest growing companies in Central Florida!
We offer:
- Full Health Benefits
- Vision
- Dental
- 401 (k)
- Pet Insurance
- Life Insurance
- Supplemental Benefits such as short-term disability, accidental insurance, and supplemental dental and vision.
- Employee Discounts
- Referral Program
Kolter Solutions is an Equal Opportunity Employer. We believe in hiring a diverse workforce and sustaining an inclusive, people-first culture. We are committed to non-discrimination on any protected basis, such as disability and veteran status, or any other basis covered under federal, state or local applicable law.
