Certified Coder

POSITION TITLE:        Certified Coder

RESPONSIBLE TO:     Revenue Cycle Director

FLSA STATUS:            Non-Exempt

 

Purpose of Position:  The Certified Coder is responsible to review charges and codes submitted in the EHR to ensure codes are in accordance with current practices and principles of ICD-10, CPT and HCPCS guidelines. Communicating with providers and staff on proper coding and documentation will be essential. The incumbent will need to be highly focused, use attention to detail, research coding or reimbursement issues and promptly communicate concerns, discrepancies, or unclear information. Continual education on coding and documentation will be a requirement of the position. This position will report directly to the Revenue Cycle Director.

QUALIFICATIONS:

  1. Associate degree in accounting, business administration or other related field is preferred.
  2. Coding certification is required from AAPC (American Academy of Professional Coders), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), or CCA (Certified Coding Associate)
  3. Minimum of 2-year experience as a coder in a medical practice and knowledge of Medicaid and Medicare billing regulations is preferred.
  4. Working knowledge of EHR/EMR, Intergy is preferred and proficient with MS Office, specifically in Excel; recent experience with ICD-10/CPT coding principals.
  5. In depth knowledge of medical, anatomy, physiology terminology a plus.
  6. Able to work with providers to improve coding accuracy.
  7. Interpersonal and communication skills and techniques necessary for effective interaction with physicians, managers, co-workers, etc.
  8. Able to implement sound judgment through use of guidelines and direction from providers; excellent organizational skills with the ability to accomplish multiple tasks.
  9. Able to maintain professional manner during stressful situations.
  10. Neat, professional appearance with a pleasant and positive manner.
  11. Willing to work for the successful accomplishment of VFHC goals and objectives.

RESPONSIBILITIES:

  1. Provide technical expertise related to CPT (Current Procedural Terminology) and ICD-10 (International Classification of Diseases) coding.
  2. Evaluate medical records and, as needed, accurately code appropriate clinical diagnoses and procedure codes according to ICD and CPT principles and conventions for all provider visits and/or procedures.
  3. Contact providers for clarification in cases where documentation in the record is unclear or insufficient to determine correct code assignment.
  4. Appropriately assist physicians and other staff members with any problems and/or questions concerning the coding and/or documentation requirements of the medical record.
  5. Perform all functions according to established policies, procedures, regulatory and accreditation requirements as well as applicable professional standards.
  6. Continually succeed at accurately meeting productivity standards.
  7. Know, understand, incorporate and demonstrate the Mission, Vision and Values; maintain patient confidentiality at all times.
  8. Assist with meeting quality measures by completing assigned tasks which are related to VFHC initiatives.
  9. Other duties as assigned.

Physical Requirements:

  1. Able to lift greater than 25 lbs. on a regular basis.
  2. Prolonged standing, sitting, walking, stooping, bending, kneeling, stretching and lifting required.
  3. Normal manual dexterity.
  4. Must be able to speak clearly.
  5. Correctable vision and hearing.
  6. Able to work with computers and necessary office equipment.

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