Covenant HealthCare · 1 week ago
PROFESSIONAL CODER
Saginaw, MI
Full-time
Onsite
Entry, Mid Level
2+ years expCovenant HealthCare is dedicated to providing extraordinary care for every generation, and they are seeking a Professional Coder to ensure optimal reimbursement for professional services. The role involves accurate coding, documentation, and collaboration with various stakeholders to maintain coding quality and compliance.
Health CareHospitalMedical
Hiring Manager
Emily Starke
Responsibilities
Contributes to organizational success targets for patient satisfaction
Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients and other staff members of departments encountered
Adhere to coding rules for coding professional services for multiple specialties (such as; neurosurgery, pediatric surgery, rehab, orthopedic, cardiology, etc.), urgent care, occupational health, family practice and other to ensure quality coding based upon documentation within the patient record
Follows policies, procedures and guidelines to assure consistent coding quality. At the same time utilizes analytical skills when reviewing charts, interpreting documentation and applying codes, sufficing edits, etc
Assures coding is completed timely and all work queues are maintained at a reasonable completion rate/turnaround timeframe. This includes the willingness to help others, accepting help from others and the ability to work extra when backlogs occur
Participates in HIM department meetings and area specific meetings (Professional coding, Practice Managers, billing, routine specialty, clinical areas, resident/physician meetings, etc.) as required
Assist in achieving departmental, AR and area specific goals
Charge entry for professional services (office and/or hospital based for acute care, urgent care, specialty care, occupational health, skilled nursing, et. Services)
Supports physicians, leadership, managers and staff on coding and documentation related items. Problem solves, researches topics, make recommendations and provides education as needed
Ability to develop training or educations materials
Performs E & M, procedural or other specified coding audits for many professional settings and services
Helps to identify solutions to problems and assists in resolving issues related to coding
Shares knowledge during training of new staff and is a resource to others
Independent learning with desire for continued personal and professional growth. Stays current on coding updates and publications
Utilizes numerous references to support technical decisions, clinical understanding of disease processes or procedures/tests performed
Maintains professional credentials
Required to provide written and oral feedback to providers on audits, for education, or other as required
Must be professional, self-motivated, and work independently with the ability to make sound decisions, analyze issues and solve problems
Assist CBO/Finance/Data/CMG/ Other as requested for follow up on items related to coding, billing or reimbursement
Assure that all legal requirements, including Federal (HIPAA) and State regulations are met
Demonstrates an awareness of legal/confidentiality issues and adheres to all HIPAA Privacy and Security and Department Policies and Procedures
Participates in development and attainment of department and workgroup goals
Perform other duties as assigned which may include: working with students, develop policies, guidelines or other documents in order to facility complete and timely gathering of information for clinical, billing or coding
Qualification
Required
Certified Professional Coder (CPC) required or Associates Degree/Certification in medical curriculum with two years coding experience in a professional setting
May substitute two years ICD9/10CM and CPT-4 coding experience with understanding that the Certified Professional Coder (CPC) requirement be fulfilled within 12 months of the start date
Must be able to tolerate working under stress, limited time constraints and with frequent interruptions and deadlines
Basic computer skills including the ability to search for work related items on line using the internet
Knowledge of standard office equipment
Knowledge of computer use including EMR, email/Lotus Notes/Outlook, internet, and other software as needed (Word, Excel, Intelicode, Systoc, AAPC, etc.)
Knowledge/understanding of medical terminology and anatomy
Knowledge of third party payer coding and billing reimbursement
Knowledge of ICD9/10CM diagnosis coding, CPT-4 coding and HCPCS coding guidelines
Demonstrates effective communication methods and skills, both verbally and in writing
Uses appropriate organization/priority setting skills to complete work timely and accurately
Practices effective problem identification and resolution skills as a method of sound decision making
Demonstrates interpersonal skills required to work with many other people and personalities
Requires the ability to use sound judgement, based upon the latest guidelines, federal and state statutes and regulations, as well as hospital and departmental policies
Continued growth in many areas
Ability to sit and look at computer screen for long periods of time
Ability to be flexible to adjust assignments as priorities change
Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards
Constant sitting, use of hands to finger, handle and feel
Constant hearing and near vision
Frequent depth perception, midrange and far vision
Frequent color and field of vision
Frequent lifting 0-10 lbs
Occasional lifting 11-50 lbs
Occasional standing, walking, carrying, pushing, pulling, climbing, balancing, stooping, kneeling, crouching, squatting and crawling
Occasional twisting, reaching and talking
Preferred
Experience In Professional Coding Setting/physician Office Setting Preferred
Coding experiences preferred utilizing ICD9/10CM and CPT-4 coding books and references in a professional setting
Prefers 2 years' experience in interpreting professional/physician remittance advice statements for all major insurance payers for multiple physician specialties
Company
Covenant HealthCare
Covenant HealthCare is a group of six private acute medical hospitals.
1001-5000 employees
H1B Sponsorship
Covenant HealthCare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (20)
2024 (13)
2023 (19)
2022 (24)
2021 (11)
2020 (17)
Funding
Current Stage
Late StageTotal Funding
unknown2002-01-01Acquired
Leadership Team
Beth Charlton
Vice President Patient Services and Chief Nursing Officer
Recent News
Company data provided by crunchbase