Coder

The Coder is responsible for reviewing clinical documentation and assigning accurate CPT, ICD-10, and HCPCS codes for services provided by pediatricians and other healthcare providers at Utah Valley Pediatrics. This role ensures that all coding is compliant with current guidelines and supports timely and accurate billing and reimbursement.

Essential Behaviors and Characteristics:

• Exhibits a caring, positive, and cheerful attitude; is adaptable, positive and supportive, even during stressful situations.
• Treats everyone with the utmost respect and courtesy. Recognizes and supports the contributions of others, and shows patience and kindness in helping others as they learn and grow. Speaks positively and respectfully of others.
• Is honest in all of their dealings. Stays on task and uses time at work to benefit patients, coworkers, providers, and the company as a whole. Their actions reflect positively on Utah Valley Pediatrics.
• Responds promptly to the needs of others and looks for ways to help and serve.
• Offers exceptional customer service with every interaction, actively seeking opportunities to give positive, memorable service. Listens carefully and thoughtfully, and works collaboratively to help anyone in need.

Schedule - 20-25 hours a week, hours flexible.

Required Skills:

• Attention to Detail: Accuracy in work. Account for such issues as age-related codes, quantity, codes requiring documented results, payer-specific requirements, etc.
• Self-starter: Ability to prioritize and manage multiple responsibilities. Can make judgement calls based on knowledge of set policies and procedures. Motivated to stay on task with little supervision.
• Basic Computer Applications: Proficient in keyboard and 10-key. Competence in Word, Excel, Outlook and internet functions.
• Communication: Ability to read, understand and follow written and oral instructions. Ability to clearly communicate needs, instructions, concerns, etc. with others.
• Office Equipment: Functional knowledge of standard office equipment such as copiers, fax, printers, etc.

DUTIES INCLUDE, BUT ARE NOT LIMITED, TO:

• Accurate and timely creation of claims from patient/provider encounters in the office or hospital
• Insurance verification for submission to the correct payer
• Coding verification to ensure accuracy
• Chart auditing to ensure compliance and accuracy in code selection
• Work with providers to correct charges and/or down/up-code based on audit findings
• Timely correction and resubmission of claims with errors
• Accurate and timely claim adjustments (self-pay, provider courtesy, etc.)
• Help identify training/re-training needs with staff
• Compile reports as needed
• Attend staff meetings
• Any other duties as assigned by Billing Department Manager or Office Manager

Physical Requirements:

• Ability to sit for 7-8 hours a day
• Ability to use a keyboard and 10-key for 7-8 hours a day
• Some lifting (20-50 lbs.) may occasionally be required
• Occasional stress related to workload

Necessary Qualities

• Able to create and contribute to a pleasant office atmosphere
• Able to maintain medical and financial confidentiality
• Friendly and caring nature which keeps communication lines open
• Ability to maintain cooperative relationships with customers, physicians, co-workers and management staff
• Strong desire to be helpful with both customers and co-workers

We provide training on the following:

• Medical management software
• HIPAA
• Utah Valley Pediatrics Policy and Procedure

Education and Experience:

• High School diploma
• Current Certified Professional Coder certificate, including ICD-10 Proficiency Assessment
• Prior experience in Medical Coding is helpful but not necessary
• Must attend any training opportunities provided by Utah Valley Pediatrics