Heritage Health · 9 hours ago
Coder
Heritage Health is committed to enhancing lives and providing exceptional support in a collaborative care environment. They are seeking a Coder responsible for accurately reviewing and assigning medical codes for diagnoses and procedures performed by healthcare providers.
Health Care
Responsibilities
Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record
Review of electronic medical records initiated by a health care provider
Review and verify component parts of medical records to ensure completeness and accuracy of diagnosis, operations, and special therapeutic procedures
Codes and/or reviews principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS – all levels, and any other coding classification systems that may be required)
Perform edit checks on data entered prior to transmittal and corrects errors as indicated
Analyze medical record documentation for consistency and completeness for coding purposes using established criteria and regulations
Examine all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered, and the results obtained are adequately described
Research and manage coding related queries to clinical staff and provide guidance
Communicates finding and current coding, documentation and billing updates to the Senior Compliance Specialist and direct leadership in a timely manner
Remains current of trends and changes in the laws and regulations governing medical record coding and documentation
Demonstrates an understanding for confidentiality to protect the patient and the corporation
Heritage Health staff have an active role in our Patient Centered Medical Home model of care
This role is designated as part of the Heritage Health PCMH Care Team
Regular and predictable attendance is an essential function of this position
Performs other job-related duties as assigned
Qualification
Required
High school graduate or equivalent
Certified Professional Coder (CPC) credential is required
Working knowledge of current CPT and ICD10 codes and basic medical terminology
Skill in operating computer, calculator, copiers, printer, telephone
Establish and maintain positive working relations with coworkers
Displays strong organization skills with the ability to prioritize and be detail oriented
Proficient in Microsoft Office, including Outlook, Word, and Excel
Excellent communication skills, both written and oral
Demonstrate the initiative to provide quality of service and improve efficiency
Ability to perform in a fast-paced environment while being professional, courteous and calm
Understand and interpret policies and regulations
Ability to compose queries in an understandable manner
Preferred
Associates degree in medical coding or related field preferred
AAPC preferred
One-year FQHC medical billing and/or Coding Experience Preferred
Benefits
Health Insurance: 100% employer-paid employee coverage for medical, dental, and vision plans for full-time employees.
Life Insurance: Employer-paid for 1x annual salary up to $200k (optional coverage available for additional cost).
Disability Insurance: Short-term disability insurance based on age & salary. 100% employer-paid long-term disability insurance.
Retirement: 403 (b) plan: Heritage Health matches up to 4% of employee contributions.
Paid Time Off Benefits: 120 hours Paid Time Off (PTO) in your first year, 56 hours Extended Illness Bank (EIB) in your first year, 8 paid holidays for full-time employees, amounts are pro-rated for part-time employees who are .5 FTE or higher.
Employee Assistance Program (EAP): Enjoy free telehealth visits for healthcare, counseling, and health and wellness coaching for all employees and their immediate household members.