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This position is responsible for reviewing documentation and assigning medical codes for inpatient and outpatient services while ensuring compliance with payer guidelines. The coder will also identify documentation inadequacies, assist with training, and collaborate with the HIM manager to resolve coding-related issues.
We are an equal opportunity employer. We do not discriminate for any reason. We welcome talented individuals who believe in our mission, drive the organization forward, and recognize the positive impact they can bring to our communities.
This position is responsible for the review of documentation and provider-assigned procedure and diagnosis coding with modification of such coding as necessary. This responsibility includes inpatient and outpatient evaluation and management services as well as office-based and hospital-based procedural services. This position is responsible for recognizing patterns of documentation and coding inadequacies and errors and reporting them to the HIM Manager for development of remedial action planning.
Core Job Responsibilities
• Works within assigned work queues, responding to established system edits and assigning medical codes and/or modifiers per established productivity and accuracy standards.
• Maintains effective and respectful relationships with all ACCESS employees, including appropriate types of communication to keep colleagues informed, lines of reporting and communication, and the need to act upon information promptly. • Identifies and interprets payer guidelines for the coding and submission of claims and collaborates with HIM manager for clarification when necessary. • Accurately codes charges, according to payer guidelines, with a goal of submitting clean claims to all payers. • Resolves coding-related issues with patients and payers. • Follows direction from HIM manager for communication with providers on documentation/coding issues. • Assists with the training of coders. • Assists with auditing and education. • Performs other duties as assigned. Requirements/Preferences • High School or GED required. Associate degree preferred • One or more certifications (CPC, CPC-P, CCS-P) with the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) required • Minimum six (6) months professional component coding experience required; one year with an FQHC provider preferred • Minimum one (1) year experience working within an electronic health record system, Epic preferred • Keyboarding skills required • Intermediate proficiency with Microsoft Office applications Competencies/Behaviors • Communication – communicate effectively (verbal, written) across all organizational levels. • Time and priority management - multitask and meet deadlines, expert attention to detail. • Critical thinking – identify/recognize patterns and propose solutions. • Collaborative; effectively and cooperatively work with colleagues within own department and across the organization. Continued HIM Coder job description continued • Flexibility/adaptability - exhibits flexibility on the job; readily respond to changing circumstances and expectations. • Cultural competency – work in a multi-cultural environment; show respect and openness towards individuals whose social and cultural background is different from one’s own. • Emotional Intelligence - exhibits confidence, empathy and respect when communicating with customers (patients), leadership and staff Working Conditions/Equipment • Normal office environment • Remote working options; must have a suitable and secure remote working environment • Ability to sit for up to 4 hours at a time • Computer/laptop • Phone/Fax/Copier/Scanner
ACCESS is a Network of Federally Qualified Health Centers treating patients on the frontlines of community-based health care. Depending on position applied/being recruited for, candidates may be required to be vaccinated against communicable diseases and provide supporting documentation proving that they are properly vaccinated, or apply for religious and/or medical vaccination exemption as a part of the application process.
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