Certified Coder (CPC) - Reimbursement Specialist

CONFEDERATED TRIBES OF THE COLVILLE RESERVATION; Nespelem (WA); On-site; USD 35,000 - 42,000; Full time

Benefits offered by this job

Job summary

Colville Tribal Health Care Authority in Nespelem, WA seeks a CTHCA Certified Professional Coder to join our Revenue Cycle team. You will research and analyze data for reimbursement, review records for documentation gaps, and ensure compliance with coding standards.

The role requires CPC or CCS certification, a high school diploma, and at least 12 months of billing and coding experience. You will work under the Revenue Cycle Program Manager with integrity and confidentiality.

Qualifications

• This position requires High School Diploma or Equivalent and 12 months billing and coding experience.
• Requires a Certified Professional Coder (CPC) certificate from the American Academy of Professional Coders or Certified Coding Specialist (CCS) certificate from the American Health Information Management Association and maintain certification throughout employment.
• Requires the ability to maintain working knowledge of current changes in coding and billing requirements from Medicare, Medicaid, and other third-party payers.
• Requires the ability to perform the functions of the position.
• Requires ability to apply and review diagnostic and procedural coding utilizing approved coding tools including but not limited to current coding text books.
• Requires the ability to effectively operate computer and software applications associated with office requirements as well as Revenue Cycle Management.
• Demonstrates the ability to complete assigned workload in an accurate and dependable manner with minimum supervision.
• Requires the ability to communicate effectively verbally as well as in writing.
• Requires the ability to analyze and effectively solve problems.
• Requires the ability to maintain accurate and retrievable files, records, audit trails and trace transactions to original entries.
• Requires the ability to organize and prioritize work to meet deadlines and timetables.
• Requires the ability to work cooperatively and professionally with customers, staff, tribal government and personnel and outside agency personnel and vendors.

Responsibilities

• Researches and analyzes data needed for reimbursement.
• Analyzes medical records and identifies documentation deficiencies.
• Serves as resource and subject matter expert to other coding staff.
• Reviews and verifies documentation supports diagnoses, procedures and treatment results.
• The Certified Professional Coder is the second in the Medical career ladder and works in compliance with all relevant claims reimbursement requirements.

Education

High School Diploma or Equivalent

Job description

Colville Tribal Health Care Authority in Nespelem, WA seeks a CTHCA Certified Professional Coder to join our Revenue Cycle team. You will research and analyze data for reimbursement, review records for documentation gaps, and ensure compliance with coding standards.

The role requires CPC or CCS certification, a high school diploma, and at least 12 months of billing and coding experience. You will work under the Revenue Cycle Program Manager with integrity and confidentiality.