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Coder Ii Jobs

Health & Hospital Corporation of Marion County

Onsite

<p><b>Division:</b>Eskenazi Health  </p>

<p><b>Sub-Division:</b> Hospital  </p>

<p><b>Req ID:</b>  25287 </p>

<p> </p>

<p><b>Schedule</b>: Full Time </p>

<p><b>Shift</b>: Days </p>

<p> </p>

<p><span style="font-size:11.0pt"><span><span style="font-family:Calibri, sans-serif"><span style="font-size:9.0pt"><span><span><span><span style="color:#1d2d3e">Eskenazi Health serves as the public hospital division of the Health &amp; Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis. </span></span></span></span></span></span></span></span></p>

<p> </p>

<p> </p>

<p> </p>
<div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:16.0px;word-wrap:break-word"><H2 style="font-size:1.0em;margin:0.0px"><b>FLSA Status</b></H2></div><div>Non-Exempt</div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:16.0px;word-wrap:break-word"><H2 style="font-size:1.0em;margin:0.0px"><b>Job Role Summary</b></H2></div><div><p style="text-align:justify"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">The Professional Coder provides timely and accurate clinical coding and abstraction of inpatient and outpatient services as appropriate to facilitate compliant and optimized reimbursement, research, and PI initiatives. The Professional Coder is responsible for the coding, abstraction, and charge entry (as applicable) of one or more of the following: professional and facility services which may include evaluation and management services, ancillary/diagnostic services, and behavioral health services.</span></span></p>
</div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:16.0px;word-wrap:break-word"><H2 style="font-size:1.0em;margin:0.0px"><b>Essential Functions and Responsibilities</b></H2></div><div><ul>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Proactively contributes to Eskenazi Health’s mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County; models Eskenazi Health’s values</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Coding and Abstracting:  Identifies and assigns the appropriate diagnosis, procedure, and evaluation and management (E&amp;M) codes in accordance with coding guidelines and departmental standards; audits notes from providers to ensure the provider is coding in a compliant manner according to governmental rules and regulations; provides feedback to the provider if there are any questions or concerns; meets with providers face-to-face to review documentation and coding guidelines as necessary; maintains acceptable levels of performance related to productivity and quality standards</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Charge Entry:  Captures charges accurately based on documentation, and integrates charges and codes appropriately; makes suggestions for additions to the fee schedules based upon recognition of new procedures and/or supplies</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Problem Solving:  Utilizes available resources appropriately to maintain quality and consistency in coding, abstraction, and charge entry processes; follows a defined process to query the medical staff for completion and/or clarification of documentation necessary to ensure coding compliance and accuracy; brings any concerns/issues to management’s attention with examples within the same date of discovery.  </span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Medical Necessity:  Recognizes cases that require specific medical necessity coverage diagnoses, and applies Local Coverage Determination (LCD) policies as necessary</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Helps Accounts Receivable Specialists with questions and concerns to ensure claims are compliant and accurate for submission and payment</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Assists with training of new team members</span></span></li>
	<li><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Software Applications:  Utilizes applicable software to retrieve documentation, abstract data/codes, and retrieve work lists</span></span></li>
</ul>
</div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:16.0px;word-wrap:break-word"><H2 style="font-size:1.0em;margin:0.0px"><b>Job Requirements</b></H2></div><div><ul>
	<li><span style="font-size:10.0pt"><span><span style="font-family:&#39;Times New Roman&#39;, serif"><span style="font-size:12.0pt">Requires a minimum of High School diploma and coding credential from AHIMA or AAPC </span></span></span></span></li>
	<li><span style="font-size:10.0pt"><span><span style="font-family:&#39;Times New Roman&#39;, serif"><span style="font-size:12.0pt">Requires a minimum of 3 years of coding experience in ICD-10, CM, CPT-4, and HCPCS coding classification systems, preferably in a physician and/or mental health physician office//hospital setting.</span></span></span></span></li>
	<li><span style="font-size:10.0pt"><span><span style="font-family:&#39;Times New Roman&#39;, serif"><span style="font-size:12.0pt">Epic experience a plus</span></span></span></span></li>
	<li><span style="font-size:10.0pt"><span><span style="font-family:&#39;Times New Roman&#39;, serif"><span style="font-size:12.0pt">Dental, vision, and/or DME coding a plus</span></span></span></span></li>
</ul>
</div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:16.0px;word-wrap:break-word"><H2 style="font-size:1.0em;margin:0.0px"><b>Knowledge, Skills &amp; Abilities</b></H2></div><div><ul>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Local Coverage Determinations (LCDs), Correct Coding Initiative (CCI) edits, and the healthcare billing process</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Diagnostic and therapeutic tests, surgical procedures, and medical record documentation standards and retrieval</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">E&amp;M guidelines, documentation requirements, and assignment for hospital inpatient and outpatient professional services</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Apply medical necessity coverage determinations as applicable, and seek coverage in the medical record documentation</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">General computer skills, and ability to learn new skills quickly</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Computerized abstracting systems</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Revenue cycle process</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Experience with clinical documentation improvement programs</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Experience in concurrent coding environment</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Excellent and professional oral and written communication skills</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Excellent and professional customer service and organizational skills</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Ability to work as an effective team member</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Recognizes opportunities for improvement and brings them to management’s attention with suggestions</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Sets and adjusts priorities to meet departmental goals</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Works independently and exercises professional judgment to meet daily operational demands</span></span></li>
	<li align="left" style="text-align:left"><span style="font-size:12.0pt"><span style="font-family:&#39;Times New Roman&#39;, serif">Demonstrates team oriented, professional conduct when resolving operational issues which cross operational units within Eskenazi Health</span></span></li>
</ul>
</div></div></div><p> </p>

<p> </p>

<p> </p>

<p><span style="font-size:12.0pt"><span><span class="cf01"><span style="font-size:9.0pt"><span>Accredited by The Joint Commission and named </span></span></span><span style="font-size:9.0pt"><span>as one of Indiana’s best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute<span class="cf01"><span>, Eskenazi Health’s programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city’s primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.</span></span></span></span></span></span></p>

<p> </p>

Coder II - Professional Services Billing (IN, US)

Coder II

High school diploma and coding credential from AHIMA or AAPC; 3 years ICD-10/CPT/HCPCS coding experience; Epic experience a plus; dental/vision/DME coding a plus.

<p><b>Division:</b>Eskenazi Health  </p>

<p><b>Sub-Division:</b> Hospital  </p>

<p><b>Req ID:</b>  25405 </p>

<p> </p>

<p><b>Schedule</b>: Full Time </p>

<p><b>Shift</b>: Days </p>

<p> </p>

<p><span style="font-size:11.0pt"><span><span style="font-family:Calibri, sans-serif"><span style="font-size:9.0pt"><span><span><span><span style="color:#1d2d3e">Eskenazi Health serves as the public hospital division of the Health &amp; Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis. </span></span></span></span></span></span></span></span></p>

<p> </p>

<p> </p>

<p> </p>
<div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:16.0px;word-wrap:break-word"><H2 style="font-size:1.0em;margin:0.0px"><b>FLSA Status</b></H2></div><div>Exempt</div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:16.0px;word-wrap:break-word"><H2 style="font-size:1.0em;margin:0.0px"><b>Job Role Summary</b></H2></div><div><p>This position completes timely and accurate auditing of coder and/or provider charges and clinical documentation and follows up with coder/provider education for Professional services as appropriate to facilitate compliant and optimized reimbursement, research, and PI initiatives. The Professional Coder, Auditor and Educator assists with workflow suggestions to Leadership.  <br>
Proactively contributes to Eskenazi Health's mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County; models Eskenazi Health values<br>
 </p>
</div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:16.0px;word-wrap:break-word"><H2 style="font-size:1.0em;margin:0.0px"><b>Essential Functions and Responsibilities</b></H2></div><div><p>•    Coding and Abstracting: Audits for appropriate diagnosis, codes for procedures, and evaluation and management (E&amp;M) codes in accordance with coding guidelines and departmental standards; audits notes from providers to ensure the provider is coding in a compliant manner according to governmental rules and regulations; audits for the charge process, provides feedback to the coder and/or provider and meets with providers face-to-face to review documentation and coding guidelines as necessary; maintains acceptable levels of performance related to productivity and quality standards; engages in provider education opportunities<br>
•    Captures charges accurately based on documentation, and integrates charges and codes appropriately; makes suggestions for additions to the fee schedules based upon recognition of new procedures and/or supplies<br>
•    Problem Solving: Utilizes available resources appropriately to maintain quality and consistency in coding, abstraction, and charge entry processes; follows a defined process to query the medical staff for completion and/or clarification of documentation necessary to ensure coding compliance and accuracy; brings any concerns/issues to management's attention with examples within the same date of discovery; routinely meets with providers to help educate and review compliant billing practices<br>
•    Medical Necessity: Recognizes cases that require specific medical necessity coverage diagnoses, and applies Local Coverage Determination (LCD) policies as necessary, and assists in educating providers and clinic sites to understand these rules; assists with workflow suggestions to Leadership to help improve the process and reduce denials<br>
•    Assists with training of new physicians<br>
•    Software Applications: Utilizes applicable software to retrieve documentation, abstract data/codes, and retrieve work lists<br>
 </p>
</div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:16.0px;word-wrap:break-word"><H2 style="font-size:1.0em;margin:0.0px"><b>Job Requirements</b></H2></div><div><p>•    CCS, CCS-P or CPC required <br>
•    Knowledge of and proficiency in the ICD CM, CPT and HCPCS II code assignment<br>
•    Three years direct coding experience <br>
•    Educator experience preferred <br>
•    Auditing experience preferred <br>
 </p>
</div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:16.0px;word-wrap:break-word"><H2 style="font-size:1.0em;margin:0.0px"><b>Knowledge, Skills &amp; Abilities</b></H2></div><div><p>•    Knowledge of Local Coverage Determinations (LCDs), Correct Coding Initiative (CCI) edits related to Behavioral Health, and the healthcare billing process<br>
•    Knowledge of diagnostic and therapeutic tests, surgical procedures, and medical record documentation standards and retrieval<br>
•    Knowledge of documentation requirements, and assignment of outpatient and in-patient facility and professional services<br>
•    Ability to apply medical necessity coverage determinations as applicable, and seek coverage in the medical record documentation<br>
•    General computer skills, and ability to learn new skills quickly<br>
•    Knowledge of computerized abstracting systems<br>
•    Knowledge of revenue cycle process<br>
•    Experience with clinical documentation improvement programs<br>
•    Experience in concurrent coding environment<br>
•    Excellent and professional oral and written communication skills<br>
•    Excellent and professional customer service and organizational skills<br>
•    Ability to work as an effective team member<br>
•    Ability to recognize opportunities for improvement and bring them to management's attention with suggestions<br>
•    Ability to set and adjust priorities to meet departmental goals<br>
•    Ability to work independently and exercise professional judgment to meet daily operational demands<br>
•    Demonstrates team oriented, professional conduct when resolving operational issues which cross operational units within Eskenazi Health<br>
 </p>
</div></div></div><p> </p>

<p> </p>

<p> </p>

<p><span style="font-size:12.0pt"><span><span class="cf01"><span style="font-size:9.0pt"><span>Accredited by The Joint Commission and named </span></span></span><span style="font-size:9.0pt"><span>as one of Indiana’s best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute<span class="cf01"><span>, Eskenazi Health’s programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city’s primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.</span></span></span></span></span></span></p>

<p> </p>

Professional Coder Auditor and Educator (Indianapolis, IN, US)

Professional Coder Auditor and Educator

CCS/CCS-P or CPC required; ICD-CM, CPT, HCPCS II coding; 3 years direct coding experience; educator/auditing experience preferred.

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