May 28, 2024

Clinic Coder

  • Stormont Vail Health
  • Topeka, KS, USA
Full Time (CPC) Certified Professional Coder

Job Description

Reviews medical record documentation and assigns accurate ICD-9-CM/ICD-10-CM and CPT codes for services provided by physicians and other qualified healthcare professionals.

Experience Qualifications

  • 2 years Coding experience. Preferred

Licenses and Certifications

  • Registered Health Information Administrator (RHIA) - AHIMA Required or
  • Registered Health Information Technician (RHIT) - AHIMA Required or
  • Certified Coding Specialist-Physician-Based (CCS-P) - AHIMA Certified Coding Specialist (CCS) is also accepted. Required or
  • Certified Professional Coder - AAPC Required

Skills and Abilities

  • Knowledge of medical terminology. (Preferred proficiency)
  • Knowledge of reimbursement processes and regulatory guidelines and ability to process claims through application and understanding of these guidelines. (Preferred proficiency)

What you will do

  • Selects and enters appropriate ICD-9-CM/ICD-10-CM and CPT codes utilizing encoding system and application of appropriate coding guidelines and resources.
  • Utilizes Electronic Medical Record applications to process claims electronically and/or manually on clinic encounter charge tickets when appropriate.
  • Routes completed charge tickets to business office for timely charge entry.
  • Proficient with assignment of evaluation and management codes and medical necessity documentation guidelines.
  • Complies with all payer specific guidelines for appropriate code assignment.
  • Provides proper date and accident information on charge claims.
  • Works in collaboration with clinic and hospital staff towards claim resolution.
  • Continually monitors and works assigned coding queues as assigned by Director.
  • Works professionally and in a timely manner to resolve all claim issues or business office inquiries.
  • Attends monthly department meetings and provides feedback on coding topics when appropriate.
  • Contacts physician or other qualified healthcare professionals when deemed necessary to clarify ambiguous or missing documentation for services rendered.
  • Notifies Director of all documentation/billing practices that do not meet facility or regulatory guidelines.
  • Continually educates self to stay current with coding guidelines and regulatory changes through use of educational materials.
  • May be required to converse and educate physicians or other qualified healthcare professionals on coding/billing practices when appropriate.

Required Experience Level

Entry Level