Job Type
Full-time
Description
Job Summary:
ESSENTIAL FUNCTIONS:
Consistently and accurately assigns ICD-10-CM, CPT and/or HCPCS codes in accordance with current year CMS/AMA CPT-4, HCPCS and Official ICD-10 Coding Guidelines by reviewing and interpreting medical documentation from physician office visit notes, procedure notes, nurse visit notes, provider orders, pathology, labs, etc.
Identifies and abstracts any additional documented HCC diagnosis not listed by the provider in the Assessment/Impression/Final Diagnosis
Review and report missing or incomplete documentation
Query providers or clinic staff as necessary for clarification of documentation or lack thereof as it pertains to proper application of ICD-10-CM diagnosis coding, HCPCS and CPT E/M and procedure coding
Monitor assigned work lists and provider lists to ensure all records are coded in a timely manner
Meets departmental productivity standards for coding
Maintain current knowledge of medical compliance, coding guidelines and federal regulations, such as medical necessity issues and correct coding initiatives
Keep informed of the changes/updates in ICD-10-CM/CPT guidelines by attending appropriate training, review coding clinics and other resources and implementing these updates in daily work
Meet continuing education requirements for coding certification
Maintain annual compliance education
Participate in coding meetings and education conferences to maintain coding skills and accuracy
- Attend conference calls as necessary to exchange information related to Coding
ADDITIONAL RESPONSIBILITIES:
Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision
Consistently demonstrates time awareness, reduces non-essential interruptions to an absolute minimum
Demonstrates thorough understanding of how position impacts the department, clinics, and hospital
Demonstrates a good rapport and works to establish cooperative working relationships with all members of department, clinic, and hospital staff
Assists billing office staff with claims denials. Verify accuracy of billing data and make corrections as appropriate for re-billing purposes as needed
Performs special projects as directed by Supervisor
Identify and communicate trends and educational opportunities to ensure proper documentation, coding, and accuracy of billing
Respond to inquiries from providers, staff, and management in a timely and professional manner
Organized and completes tasks
Regular and reliable attendance
Responsible and dependable
Present to work on time as scheduled
Strong communication skills, oral and written with a friendly, helpful attitude
Strong work ethic and flexibility required
Analytical skills experience and sound judgment to make decisions
Self-motivated problem-solver with professional demeanor
Must be able to seek assistance from supervisor when any change in schedule or issues with assigned work arise
Ability to use whatever tools and equipment is available to get the job done
Knowledgeable in multiple computer programs, i.e., Microsoft Outlook, Excel, Word
The ability to work with little to no supervision
Perform other duties as assigned by supervisor
KNOWLEDGE/SKILL/ABILITIES:AGE-RELATED COMPETENCIES: Demonstrates the basic knowledge and skills necessary to identify age-specific patient needs appropriate for this position.
Information Management: Treats all information and data within the scope of the position with appropriate confidentiality and security.
Risk Management/Quality Management/Safety: Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations.
MINIMUM POSITION QUALIFICATIONS: Ø
Education - High School Diploma/GED or higher
Ø
Work Experience - Preferred 2+ years of post-certification medical coding experience
o Experience with various encoder systems (3m, Knowledge source, Encoder Pro, Evident, etc.)
Ø
Training - Experience with CPT-4/HCPCS Procedure coding
o Experience with ICD-10-CM coding
o
Ø
License/Certification - Professional coder certification with credentialing from AHIMA and/or AAPC (CPC-a, RHIT, RHIA, CCA, CPC, COC, CPC-P, CCS) to be maintained annually
o All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview/offer process
o 2+ years of experience in a PC in a Windows environment, including MS-Excel and EMR systems
o Proficient Excel skills
o Medical terminology knowledge
ENVIROMENTAL CONDITIONS: Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids.
Salary Description
$21.00 - $33.00 HR DOE