Remote Coder III - Fresenius Medical Care Holdings, Inc.
Malvern, PA 19355
About the Job
PURPOSE AND SCOPE:
The Coder III provides high level administrative support to coding operations within the assigned function(s). The incumbent is responsible for ensuring appropriate diagnostic and procedural codes to patient health information for utilization in data retrieval, analysis and claims processing. The Sr. Coder serves as a subject matter expert (SME) in the interpretation and explanation of data for internal and external customers.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Ensure the appropriate assignment of the applicable diagnostic and/or procedural code(s) to patient health information documents.
- Assist with the assignment and coordination of daily coding activities for the team(s) in alignment with company goals and objectives within the assigned function(s).
- Administer physician quality reporting initiative (PQRI) data to report quality measures; maximizing incentive payments at the time of billing.
- Ensure standard reports are generated and distributed for management review on a routine basis.
- Monitor new clinical sites and perform due diligence by providing high level support and guidance of coding operations as necessary.
- Perform coding audits on a routine basis; ensuring data accuracy and integrity.
- Establish and maintain strong working relationships with cross-divisional teams; coordinating activities in achievement of shared goals within established timelines.
- Serve as an SME by serving as a resource to immediate team(s), internal and external customers; investigating, resolving and communicating complex issues as necessary.
- Mentor other staff as applicable.
- Assist with various projects as assigned by direct supervisor.
- Other duties as assigned.
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
- The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Occasionally lift and/or move up to 25 pounds.
SUPERVISION:
- None
EDUCATION:
- High School Diploma required; Associate’s Degree desirable
- May require two or more AAPC or AHIMA Certifications for some business units
EXPERIENCE AND REQUIRED SKILLS:
- 2 – 4 years’ related experience.
- Strong computer skills with advanced proficiency in word processing, spreadsheet and email applications.
- Working knowledge of governmental laws and regulations as they affect billing and coding processes.
- Detail oriented with strong analytical and organizational skills.
- Strong time management skills with the ability to multitask concurrent priorities in an organized manner.
- Strong interpersonal skills with the ability to work cohesively within a team environment.
- Possess a positive, enthusiastic and energetic attitude.
- Excellent oral and written communication skills to effectively communicate with all levels of management.
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
