Coder I

Baptist Health Care
United States, Florida, Pensacola
Dec 11, 2024
Job Description Must live in one of the approved states: Florida, Alabama, Georgia, Louisiana, Tennessee, Texas (excluding Austin, TX), North Carolina The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the tests was performed and meets all state federal local and payer guidance. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation. Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that affect outcome. Communicate questions or concerns to the Coding Manager, HIM Services Director, or BHC's Revenue Integrity Department to ensure prompt resolution. Works with medical staff to resolve coding issues and associated problems. Reports and communicates any suspected coding inaccuracies in a timely manner. Qualifications Minimum Education High School Diploma or Equivalent Required Minimum Work Experience 1-3 years coding experience or formal coding education Required Licenses and Certifications Certified Coding Specialist (CCS_AHIMA) Required or Certified Coding Associate (CCA_AHIMA) Required or Certified Professional Coder (CPC_AAPC) Required or Certified Outpatient Coding (COC_AAPC) Required About Us Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida. Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law.