CERTIFIED CODER/BILLER (ON SITE)

Mena Regional Health System; Arkansas; Hybrid; USD 42,000 - 64,000; Full time

Job summary

Mena Regional Health System in Mena, AR 71953 is seeking a professional Medical Coder to review medical records and assign diagnoses and procedures for outpatient and professional services. The coder adheres to AHIMA standards and official coding guidelines and supports physician office billing.

Qualifications include a high school diploma or equivalent, and certifications such as RHIT, RHIA, CCS, CCA, CPC or completion within 6 months of employment.

Qualifications

• Knowledge of ICD-10-CM diagnoses and CPT/HCPCS procedure coding.
• Familiarity with MS-DRG, APC, MPFS/RVU, POA and HAC concepts.
• Prior coding experience in acute care inpatient/outpatient or professional services.

Responsibilities

• Accurate and timely coding of all procedures and conditions of patient accounts.
• Files all insurance claims and follows up by phone or internet.
• Abstracting data from all records and assigning primary and secondary diagnoses and procedures.
• Codes Professional Services accounts and supports billing for the physician office.
• Performs other duties as assigned and may require evenings/nights/weekends.

Skills

ICD-10-CM knowledge

CPT/HCPCS coding

MS-DRG/APC/MPFS/RVU knowledge

POA/HAC knowledge

Education

High School Diploma or equivalent experience

Job description

Job Details

Job Location: Mena, AR 71953, Job Category: Health Care, At the direction and control of the Director of Revenue Cycle, the coder is responsible for reviewing and analyzing documentation present in the medical record for outpatient and/or professional services to assign diagnoses/procedure codes as described by the physician(s) of record. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Also assists with billing for the Physician office.

Principal Duties and Responsibilities

• Accurate and timely coding of all procedures and conditions of patient accounts
• Files all Insurance claims, follows up by phone or internet access
• Abstracting data from all records
• Assign principle diagnosis and procedure
• Assigns secondary diagnosis and procedure
• Codes Professional Services accounts
• Consequences of error in should be minimal
• Actively participate in all special events
• Performs other duties as assigned.
• May be required to work evenings, nights, and/or weekends on a regular or as needed basis

Qualifications

Education: High School Diploma or equivalent experience.

Certifications

Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Association (CCA), Certified Professional Coder (CPC), or completed within 6 months of employment.

Other

Working knowledge and high level of experience with the ICD-10-CM and/or CPT/HCPCS coding classification systems, MS-DRG's, APC's, MPFS/RVU's, POA's, and HAC's; dependent upon whether an IP, OP, or Professional Services Coder

Experience

Prior coding experience in ICD-10 CM diagnoses/ procedure coding and HCPCS/CPT procedure coding in the acute care inpatient/ outpatient hospital or professional services setting. Three (3) years experience preferred

Physical Requirements

Physical requirements include, but may not be limited to:

• Reaching and grasping with arms and hands
• Proofreading and checking documents for accuracy
• Using a keyboard to enter or transform words or data
• Hearing in normal and soft tones
• Ability to read and understand written English words and sentences
• Ability to communicate orally and in writing in English words and sentences
• Ability to understand spoken English words and sentences
• Ability to communicate with others by telephone and e-mail
• Ability to perform duties and responsibilities promptly and with little direct supervision in planning and organizing workload
• Ability to judge the appropriate action in response to changes, circumstances or problems.

The demands described herein is representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Critical Demands

• Understanding, supporting and promoting the organizational values inherent in the philosophy of Mena Regional Health System
• Performing job duties in a manner which demonstrates the values of Mena Regional Health System and its commitment to customer service
• Complying with Human Resources policies and procedures
• Responding to the needs of departments, personnel and Medical Staff consistent with hospital policy and objectives