ClearSky Health

Operates inpatient rehabilitation hospitals and services

Medical Coder

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeTexas, USANo salary listedRemote

About the Job

Requirements

Three years of medical coding experience or a coding certification from AHIMA or AAPC is required.
Current knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third-party payer requirements regarding coding and billing is required.
Working knowledge of medical terminology, anatomy, and physiology is required.
Knowledge of state and federal regulatory guidelines for reimbursement in the prospective payment system to interface with physicians is required.

Responsibilities

Assign diagnostic and procedure codes to patient records for reimbursement and data purposes in accordance with state and federal regulations.
Assign codes using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM).
Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
Maintain a coding accuracy threshold of 95%.
Receive and review patient charts and documents for accuracy, identify discrepancies, and follow up with providers when documentation is insufficient or unclear.
Query physicians for clarification and diagnostic details as needed to ensure coding accuracy and specificity.
Remain up to date on coding and diagnostic procedures and current on federal legislative changes.
Comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to protect patient confidentiality.

Desired Qualifications

Rehabilitation coding experience is preferred.
An associate's degree in a related field is preferred.

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.

The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice.

Essential Functions Include:

Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM).
Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations.
Maintains a 95% threshold for coding accuracy.
Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear.
Queries physician for clarification and diagnostic details as needed for accuracy and specificity in coding.
Remains up-to-date and knowledgeable of coding and diagnostic procedures and remains current on federal legislative changes.
Complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), to protect patient confidentiality.

Minimum Job Requirements

Minimal Education & Experience:

3 years medical coding experience OR Coding certification (AHIMA or AAPC) required.
Rehabilitation coding experience preferred.
Associate's degree in related field preferred.

Required Knowledge, Skills & Abilities

Current knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third party payer requirements regarding coding and billing.
Working knowledge of medical terminology, anatomy, and physiology.
Knowledge of state and federal regulatory guidelines for reimbursement in the prospective payment system to interface with physicians.

Physical Requirements Over the Course of a Shift

A significant amount of sitting and reaching.
Lifting/exerting of up to 10 lbs.
Sufficient manual dexterity to operate equipment and computer keyboard.
Close vision and the ability to adjust focus.
Ability to hear overhead pages.

About the Company

ClearSky Health

Operates inpatient rehabilitation hospitals and services

ClearSky Health runs inpatient rehabilitation facilities (IRFs) that provide post-acute rehab care. Each hospital uses a physician-led, interdisciplinary team and offers at least 15 hours per week of therapy, 24/7 rehabilitative nursing, and services such as physical, occupational, and speech therapy, along with respiratory care, dietary services, and case management; care is funded by Medicare and other insurers. The company grows by building, acquiring, and operating IRFs to create an integrated hospital-to-home rehab network, including de novo openings and partnerships, with a focus on underserved communities. Its goal is to expand access to comprehensive rehabilitation services across multiple states and help patients recover and return home.

Company size: 501-1,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Albuquerque, NM
Founded: 2018

Recently Posted Jobs

Explore more opportunities at ClearSky Health

See more jobs