Outpatient Coder III

Overview

Embark on a rewarding career with Tenet Physician Resources. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.

At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

The Coder III is responsible for coordinating, performing and completing Medicare compliancy. Coding consists of outpatient services in outpatient and inpatient services including procedures. To ensure coders provide technical aspects of the assignment diagnostic and carried out in accordance with established standards and in compliance NCQA and other regulatory agencies, and Tenet policy.

Responsibilities

• Performs all assigned billing in a timely manner 
• Communicates with the physician the documentation needed to complete job functions 
• Ensures accurate coding from the medical record regarding ICD-9 and ICD-10, appropriate evaluation and management CPT code 
• Updates patient record with patient’s current insurance, address and telephone numbers 
• Identifies primary care doctor and referral source with contact information and documents it in the medical record 
• Performs claims follow up and reviews with billing agent in a timely 
• manner 
• Protects patient confidentiality according to HIPAA guidelines 
• Maintains proper credentials and researches coding issues to ensure correct coding initiative per CMS guidelines 
• Identifies and attends one course/conference per specialty, per year to continue education in the coding field
• Must have ortho billing experience 

Qualifications

• AA Degree required 
• Bachelors Degree preferred 
• 5 years coding experience required 
• Healthcare background is required 
• CPT current competence with ICD- 10, ICD-9, CPT-4, and HCPCS required 
• Coding scheme and reimbursement practices required 
• RHIA, RHIT, CCS, CPC or COC certification is required 
• Office, and Excel required 
• Willingness to be flexible and adaptable in a complex, matrix environment

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Organization Description

The mission of the Paley Orthopedic & Spine Institute is to provide some of the most technologically advanced treatments to improve the lives of those who suffer from congenital, developmental and post-traumatic orthopedic conditions. Serving children and adults from the local community, the United States and the world, the Paley Orthopedic & Spine Institute offers comprehensive, coordinated care from an experienced team of professionalsdesigned for the specific needs of each patient. At the Paley Orthopedic & Spine Institute, our treatment philosophy focuses on reconstruction over amputation and a commitment to preserving limbs and joints and restoring function.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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