Medical Coder Rural Health Clinic

Job Description: Medical Coder Department: Health Information Management (HIM)

• Location: Rural Health Clinic (RHC)
• Shifts Available: Full Time Days

Medical Coder Job Summary: Assign diagnosis and procedures codes to patient accounts to ensure accurate and timely claims to be submitted to payers for reimbursement. This position needs to be comfortable coding a variety of modalities including Rural Health Clinic, physician billing, and outpatient services.

Benefits

• Medical / Dental / Vision
• Health Savings Account
• Flex Spending Account/Dependent Care Spending Account
• Employer Paid Life Insurance
• Employer Paid Long-Term Disability/ Short-Term Disability Insurance
• 403 (b) Retirement Plan - up to 4% employer contribution
• Earned Time Off
• Extended Illness Bank-Hospital contribution
• Free 24-hour fitness center

Medical Coder Essential Accountabilities:

• Completes Rural Health Clinic, physician, and outpatient coding functions utilizing approved system workflow applications for coding, abstracting, and financial billing.
• Demonstrates the ability to achieve accurate, complete and consistent selection of principle and relevant secondary diagnosis and procedures; identifies complications/co-morbid conditions; and verifies discharge disposition codes. Knowledge of ICD10, Rural Health Clinic requirements, CMS-CMGs and other quality indicators that impact reimbursement and public reporting.
• Queries physicians for clarification of documentation as directed by Coding Guidelines, CPT Assistant and facility specific guidelines.
• Responds to queries from Billing and Patient Financial Services teams within departmental guidelines.
• Follows American Hospital Association (AHA) Coding Guidelines and other regulatory agency directives for ICD, CPT, and HCPCS II coding.
• Maintains current knowledge of coding issues by reading official coding guidelines such as AHA Coding Clinic, American Medical Association (AMA) CPT Assistant, WPS and CMS medical necessity regulations.
• Meets productivity and accuracy requirements consistently per HIM policy.
• Maintains professional certification as mandated by professional organizations (AHIMA, AAPC).
• Assists HIM management in orientation and training of new staff and contract coders, as required. Serves as resource and subject matter expert to other coding staff and hospital staff.
• Attend continuing education seminars via remote or on site as scheduled to maintain credentialing.
• May perform other duties as assigned.

Organizational Accountabilities:

• Completion of Healthstreams education by designated due dates.
• Attends required staff/department/organization’s meetings.
• Demonstrates strong, clear communication skills.
• Upholds the C.A.R.E. Values of McPherson Center for Health
• Exhibits professionalism at all times.
• Maintains confidentiality as required by HIPAA regulations.
• Participates in the professional development of self and team members.
• Medical Coder Qualifications:

Education:

• High school degree or equivalent
• Associate degree or equivalent in Heath Information Management preferred

Certifications:

• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)

Medical Coder Experience:

• 2 years of Rural Health Clinic coding experience preferred and working knowledge of CPSI preferred.

Skills:

• Highly knowledgeable of clinical information such as disease process, pathology, pharmacology, anatomy and physiology, and procedural and surgical intervention.
• Knowledge of computerized encoder and abstracting systems as well as coding guidelines.
• Essential knowledge of ICD coding conventions, CPT coding conventions and DRG/APC encoder applications.
• Mastery of coding guidelines for sequencing and selection

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