Aya Healthcare has an exciting 17 Week Remote Contract Opportunity!
Job Details:
JOB TITLE: ProFee Clinical Coder
CONTRACT DURATION: 17 Weeks (TEMP TO HIRE)
SHIFT: (8 Hours): M-F 9:00 a.m. – 5:00 p.m.
LOCATION: Remote (Facility Based in Fayetteville, NC)
ONBOARDING TIME: Expect 3-5 weeks from offer acceptance to start date.
APPLICATION REQUIREMENTS (due at time of phone screen with recruiter)
· Copy of diploma for highest level of completed education.
· Two manger/supervisor references who you have worked with in the last year (Name, Company, Phone Number, Email Address)
· Upcoming RTO for the duration of the contract. (June 2024 – October 2024)
· Interview availability for the next 7-10 days.
· Resume with last seven years of work history - all work history gaps of 90+ days must be explained.
DETAILS ABOUT THE POSITION
Reviews thoroughly the entire medical record to code specifically and accurately those conditions or diagnoses that were treated or affected the patient's plan of care. Verifies that each medical record contains appropriate documentation to justify the selected principal diagnosis to identify comorbid conditions, complications, and procedures to use for DRG Assignment. Maintains an accurate case mix index from which administration makes critical management and strategic planning decisions.
JOB RELATIONSHIPS:
Responsible to: Inpatient or Outpatient Coding Supervisor
Positions Directly Supervised: N/A
MAJOR JOB FUNCTIONS:
The following is a summary of the major essential functions of the job. The incumbent may perform other duties, both major and minor, that are not mentioned below; and specific functions may change from time to time.
· Codes all diagnoses, treatments, and procedures according to the appropriate classification system for that category of patient encounter, and in accordance with provisions of the Uniform Hospital Discharge Data Set as well as the interpretation of these provisions as issued by the American Hospital Association and American Health Information Management Association and all governmental and private Third-Party rules and regulations.
· Performs medical record abstracting of hospital admissions for reimbursement and statistical reporting. Verifies patient data while abstracting for accuracy and completeness of patient database.
· Refers to the Local Medical Review Policies, National Determination Coverage Policies and Local Determination Coverage Policies, as necessary, to ensure compliance with federal guidelines.
· Assesses OCE, NCCI and CCI edits, as necessary, to apply appropriate modifiers and make appropriate referrals to revenue departments, claim billers, senior coders and other hospital contacts for accurate claim submission.
· With full understanding of PPS regulations, the DRG classification systems (MS-DRG and APR-DRG), and CMS Patient Safety and Quality initiatives, communicates with physicians regarding the accuracy of principal and secondary diagnoses on the final code set, based on lab and other diagnostic findings, when the record may be subjected to QIO review due to vague attestation/documentation.
· Assesses the adequacy of documentation to ensure that it supports the principal diagnosis, principal procedure and complications and comorbid conditions that are coded.
· Uses good judgment in determining when to delay billing for obtaining additional documentation to support the assignment of a more optimal DRG/APC.
· Makes coding supervisor aware of problem issues, negative physician communication and/or other influences that impact effectiveness of job performance.
· Uses tact and diplomacy in all communications with physicians and other hospital personnel.
· Performs other duties as assigned by the Senior Coding Specialists or Coding Supervisor.
JOB REQUIREMENTS:
· Associates or Bachelor's Degree in Health Information Management or equivalent training and experience.
· RHIA, RHIT, CCS or other equivalent credentials required.
· Medical terminology, anatomy and physiology, familiarity with medical record content and an understanding of the Uniform Hospital Discharge Data Set (UHDDS) definitions.
· Knowledge of ICD-CM coding principles under Prospective Payment System.
· 3-5 years coding experience required, preferably in a hospital setting.
· Experience in a Health Information Management in an acute care facility, or with a Peer Review Organization, in Quality Assurance, or Utilization Review preferred.
· Excellent communication skills required.
· Highly independent in that decisions are made with very serious impact affecting hospital reimbursement and PRO review determinations.
· High degree of interpretation, analysis, planning, coordination, and organization of information.
· Decisions require intense mental effort and consideration of reimbursement ramifications.
· Utilizes past experience, practices and organization to accomplish goals.
· Assigns accurate codes using good judgment in a timely manner within broad guidelines.
HARD REQUIREMENTS:
· At least 3+ years of coding experiences including ProFee, outpatient, ED, etc.
· Candidates must have ProFee listed and outpatient.
· A certificate of completion in one of these: CCS, RHIA, or RHIT (a CCS is most PREFERRED).
· Candidates must have their own equipment
AYA DELIVERS…
· Front-of-the-line access to exclusive jobs at thousands of healthcare facilities nationwide.
· A robust team to support you every step of the way to ensure you start on time, have accurate payroll and an exceptional experience.
· A credentialing specialist to streamline the entire compliance process.
· And of course, you get the usual benefits such as:
o Premium medical, dental, vision and life insurance beginning day one of your assignment.
o Paid sick time. Aya provides paid sick leave in accordance with all applicable state, federal, and local laws. Aya's general sick leave policy is that employees accrue one hour of paid sick leave for every 30 hours worked. However, to the extent any provisions of the statement above conflict with any applicable paid sick leave laws, the applicable paid sick leave laws are controlling.
o Generous 401k match.
o Certification and other reimbursements, when applicable.
o Pay listed above includes taxable wages and tax-free expense reimbursements, when applicable.
Aya Healthcare is an Equal Opportunity Employer and encourages all to apply!
Job Type: Contract
Pay: $32.00 - $35.00 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
Application Question(s):
- Do you have your own work equipment?
Education:
Experience:
- Medical Coding: 3 years (Required)
- Outpatient Medical Coding: 1 year (Required)
- ICD-CM: 1 year (Required)
- 3M 360: 1 year (Required)
- Epic: 1 year (Required)
- ProFee Coding: 1 year (Required)
License/Certification:
- Certified Coding Specialist (Preferred)
- RHIA (Preferred)
- RHIT (Preferred)
Work Location: Remote