Coder - Certified

Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation.

• Medical, Dental & Vision Insurance
• Flexible Spending Accounts & Health Saving Accounts
• Paid Time Off
• Generous Retirement Plans
• Life Insurance
• Long-Term Disability
• Tuition Reimbursement
• Employee Assistance Program
• Adoption Assistance
• Shift Differential

For more information on our Benefits & Perks, click here!

Up to $500 in Bonuses!

$250 Sign On Bonus and $250 Retention bonus after successful Probationary completion.

***Applies to external candidates only.

Certified Coders have the option to work virtually. Must reside in the state of WA, OR, ID, WI, FL, MT, GA, TX, AZ, AL, TN.

The Certified Medical Coder will be responsible for reviewing all medical record information to extract data and apply appropriate diagnoses and procedure codes for billing, internal and external reporting, research, and regulatory compliance. Accurately codes conditions and procedures as documented in the Official Guidelines for Coding and Reporting for Hospital Departments. Acts as a coding resource for team members as well as medical staff, ensuring coding practices fall with the established compliance guidelines for ICD-10CM/PCS, CPT & HCPCS according to American Medical Association (AMA) and CMS. Assigning codes utilizing an electronic encoder application in accordance with the practice policy and regulatory guidelines. Strong knowledge of medical terminology, anatomy & physiology, and pharmacology is needed. The Certified Medical Coder will be responsible for abstracting and assigning ICD-10-CM/PCS, CPT, or HCPCS codes per coding guidelines. Assists with coding audits rebuttals from payor and RAC audits when due to coding.

Position Reports To: Coding Department Manager

1. Reviews accounts and charges in EPIC.
2. Codes all records based on documentation, following coding guidelines, payer regulations and ethics.
3. Demonstrate knowledge of CMS Hierarchical Condition Category (HCC) Risk Adjustment coding.
4. Apply knowledge of coding rules, review and resolve CCI/LCD/NCD’s and modifier edits.
5. Effectively uses software and/or coding books to verify coding accuracy.
6. Responsible to stay current with billing guidelines and reimbursement rules and regulations.
7. Work with Revenue Integrity & Compliance on audits and coding questions.
8. Contribute as a team member with our Clinical Documentation Specialists.
9. Provides feedback to providers regarding incorrect coding using authorized methods as directed by department policy. Such as physician queries for incomplete/contradictory diagnosis or greater specificity.
10. Works with clinical staff to resolve coding issues and related problems.
11. Assists with coding audits rebuttals from payor and RAC audits when due to coding.
12. Participates in educational activities as requested (i.e. attending meetings with clinical staff).
13. Maintain department coding production standards for the specialties you are assigned to code.
14. May be requested to perform job tasks not specifically related to primary assignments for the success of the organization as requested by management.
15. Other duties as assigned.

Certified Professional Coder Functions:

• Hospital Professional Coders are responsible for coding charges for Inpatient/Outpatient Hospital, Emergency Department and/or Ambulatory Surgical Center.
• Clinic Outpatient Professional Coders are responsible for coding multiple specialties with a broad range of health care facility types following Rural Health, Freestanding and/or Provider Based Department guidelines.
• Utilizes ICD-10CM, CPT, Modifiers and HCPCS codes for reporting diagnosis and procedures per coding guidelines.
• Review charge session for appropriate billing provider, department, and place of service.
• Ability to level E/M visits and extract procedure codes.
• Receives paper charge tickets or invoices, appropriately codes them, create HARs and then batch or unit charge entry into EPIC.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Required:

• High School graduate or equivalent.
• One of the following coding certifications: CPC, CIC, COC from American Academy of Professional Coders (AAPC) or CCA, CCS, RHIA, RHIT from American Health Information Management Association (AHIMA).
• Minimum 1 year coding experience or equivalent education/experience.
• Knowledge of ICD-10, CPT coding, medical terminology, and insurance billing.
• Understanding of DRG’s for Inpatient Facility coding positions.
• Possesses basic computer (e.g., spreadsheets, word processing) skills.

Desired:

• Experience with EPIC EHR.
• Facility coders: Experience with Nuance Clintegrity encoder system.
• Second coding certification from AAPC or AHIMA.

• Walking - F
• Sitting/Standing - C
• Reaching: Shoulder Height - F
• Reaching: Above shoulder height - F
• Reaching: Below shoulder height - F
• Climbing - O
• Pulling/Pushing: 25 pounds or less - O
• Pulling/Pushing: 25 pounds to 50 pounds - O
• Pulling/Pushing: Over 50 pounds - O
• Lifting: 25 pounds or less - O
• Lifting: 25 pounds to 50 pounds - O
• Lifting: Over 50 pounds - O
• Carrying: 25 pounds or less - O
• Carrying: 25 pounds to 50 pounds - O
• Carrying: Over 50 pounds - O
• Crawling/Kneeling - O
• Bending/Stooping/Crouching - F
• Twisting/Turning - F
• Repetitive Movement - F

Working Conditions:

• Normal office environment or optional remote work in approved state.

• FLSA: Non-Exempt
• Hourly/Salary: Hourly

• Unprotected Heights - No
• Heat - No
• Cold - No
• Mechanical Hazards - No
• Hazardous Substances - No
• Blood Borne Pathogens Exposure Potential - No
• Lighting - No
• Noise - No
• Ionizing/Non-Ionizing Radiation - No
• Infectious Diseases - No