CERTIFIED CODER/BILLER (ON SITE)

Mena Regional Health System; Mena (AR); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Mena Regional Health System seeks a skilled medical coder to review and analyze medical records for outpatient and professional services, assigning diagnoses and procedures per physician records. The role emphasizes compliance with AHIMA standards and official coding guidelines.

The candidate will file insurance claims, abstract data, and support billing for physician offices. Prior ICD-10-CM and CPT/HCPCS coding experience is essential, with RHIT/RHIA/CCS/CCA/CPC certifications preferred or

Qualifications

• Requires RHIT/RHIA/CCS/CCA/CPC certification or must complete within 6 months of employment.
• Three years of coding experience preferred.
• Proficient with ICD-10-CM diagnoses and CPT/HCPCS procedure coding.
• Experience with acute care inpatient, outpatient hospital, or professional services coding preferred.

Responsibilities

• Review and analyze documentation in medical records to assign diagnoses and procedures.
• Assign principal and secondary diagnoses and procedures.
• Code for Professional Services and insurance claims; file claims and follow up as needed.
• Abstract data from records and ensure compliance with AHIMA standards and official coding guidelines.
• Assist with billing for physician offices and support coding accuracy across departments.
• Perform other duties as assigned and adapt to potential evenings/nights/weekends.

Skills

ICD-10-CM knowledge

CPT/HCPCS knowledge

Education

RHIT

RHIA

CCS

CCA

CPC

Tools

MS-DRG

APC

MPFS/RVU

POA

HAC

Job description

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 ResponsibilitiesAccurate and timely coding of all procedures and conditions of patient accountsFiles all Insurance claims, follows up by phone or internet accessAbstracting data from all recordsAssign principle diagnosis and procedureAssigns secondary diagnosis and procedureCodes Professional Services accountsConsequences of error in should be minimalActively participate in all special eventsPerforms other duties as assigned.May be required to work evenings, nights, and/or weekends on a regular or as needed basisEducation: 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 CoderExperience: 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 preferredPhysical Requirements: Physical requirements include, but may not be limited to:Reaching and grasping with arms and handsProofreading and checking documents for accuracyUsing a keyboard to enter or transform words or dataHearing in normal and soft tonesAbility to read and understand written English words and sentencesAbility to communicate orally and in writing in English words and sentencesAbility to understand spoken English words and sentencesAbility to communicate with others by telephone and e-mailAbility to perform duties and responsibilities promptly and with little direct supervision in planning and organizing workloadAbility to judge the appropriate action in response to changes, circumstances or problems.The demands described herein are 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 SystemPerforming job duties in a manner which demonstrates the values of Mena Regional Health System and its commitment to customer serviceComplying with Human Resources policies and proceduresResponding to the needs of departments, personnel and Medical Staff consistent with hospital policy and objectives