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Mahaska Health Partnership

Coder

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Posted On:
Closing On:
Wednesday, 21st February 2018
Friday, 25th May 2018
Category: Administrative
Department: Health Information Management
Job Type:
Full Time
Duration:
Travel:

Job Description:

Hours: Full-time.

Educational Requirements: Associate's Degree or above with a RHIT, CCS, or CPC.

Work Experience Requirements: All candidates MUST have a minimum of 4 years of experience in professional production coding, billing and reimbursement and/or related education; Experience in a clinical setting coding specialization; Experience in acute care facility coding; Extensive knowledge of medical terminology, medical coding (CPT - 4 and ICD-10-CM/PCS), and state, federal and Medicare regulations; Basic knowledge of the Revenue Cycle for the purpose of communicating corrective action recommendations

Job Requirements: The Coder is responsible for identifying areas of non-compliance in the areas of coding, charge capture and revenue cycle data collection practices. Any reported issues resulting from the revenue cycle audit, this position will provide recommendations on appropriate coding, data collection and documentation behaviors. This position will be responsible for adhering to established processes and procedures throughout the organization that maintain billing integrity and compliance. This position will be responsible for maintaining current knowledge of the various regulatory agency guidelines and requirements and will work with staff and providers to ensure that all regulations are met, and that bills are subsequently submitted to a third party with accurate and compliant data. The Coder/CDI Specialist reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. This position is challenged to be aware of the continual changes in Federal and State regulations for prospective payment, keep informed of changes in treatment modes and new procedures, and to perform coding when physician documentation is vague or missing.

List of Job Duties:Reviews, analyzes, and codes the medical documentation associated with patient; review hospital encounters for accuracy and regulatory compliance; Review/analysis of revenue cycle data; Analysis of any data changes affected by system interfaces; Provide coding assistance and feedback to ensure appropriate reimbursement, as well as to ensure that coding and documentation meet regulatory requirements; Maintain current knowledge of coding conventions, changes and regulations Identifies relevant diagnoses and procedures for distinct patient encounters; Responsible for translating diagnostic phrases utilized by healthcare providers into coded form; Required interaction with the healthcare provider to ensure that the terms have been translated correctly; Works as a part of a coding team; Maintain awareness of the continual changes in Federal and State regulations for prospective payment; Keep informed of changes in treatment modes and new procedures, and to perform coding when physician documentation Extensive knowledge of medical terminology, medical coding (CPT-4 and ICD-10-CM/PCS), and state, federal, and Medicare regulations; Strong written and verbal communication skills with emphasis on relationship building and communicating effectively with a group as well as providers; Understanding of coding requests services commonly performed in a medical center environment; Able to work independently and meet deadlines; Accept roles with increasing responsibility; Basic knowledge of the revenue cycle for the purpose of communicating corrective action recommendations; Working knowledge of Microsoft Office (Word, Excel, Access, and PowerPoint), Ability to multi-task, Detailed-Oriented, Working knowledge of 3M encoding software; Basic knowledge in working with electronic medical record applications; Have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.; Inpatient coding skills.

Preferred Skills: