CERTIFIED CODER I

JPS Health Network; Fort Worth (TX); On-site; USD 52,000 - 64,000; Full time

Job summary

JPS Health Network seeks a Certified Coder I to assign ICD/CPT codes for outpatient records across clinics, Urgent Care, and ER. Collaborate with staff to ensure accurate documentation and billing.

Ideal candidates hold AHIMA/AAPC certifications and have at least a high school diploma, with preferred 1 year outpatient coding experience. Strong attention to guidelines is expected.

Qualifications

• High school diploma or equivalent is required.
• Preferred: 1 year outpatient coding experience.
• Certifications: RHIA/RHIT/CCS/CCA or CPC/CPC-H.

Responsibilities

• Assigns codes to diagnoses and procedures using ICD and CPT.
• Ensure codes are accurately sequenced to support proper reimbursement.
• Query providers when documentation is insufficient or ambiguous.
• Maintain productivity and quality per coding standards.
• Refer to coding references and collaborate with supervisors and staff.

Skills

Medical coding

Education

High School Diploma, GED or equivalent

1 year outpatient coding experience

RHIA/RHIT/CCS/CCA

CPC/CPC-H

Job description

Certified Coder I

The Certified Coder I performs functions of coding diagnosis and procedures from outpatient center/clinic records utilizing International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes. (Potential Remote)

Typical Duties

1. Assigns codes to diagnosis and procedures of outpatient records, including clinics, Urgent Care and Emergency room, utilizing ICD and CPT codes in accordance with ICD Coding Guidelines, CPT Coding Guidelines, American Hospital Association (AHA) Coding Clinics and the JPS Outpatient Coding Policy and Procedures. These charts are typically less than one day stays and are of low to medium clinical complexity of service requiring knowledge of anatomy, physiology and basic pharmacology.
2. Ensures codes are assigned accurately and sequenced correctly ensuring reimbursement is appropriate in accordance with government, insurance, and/or other payer regulations to include the coding of diagnoses and procedures and may include the coding of signs and symptoms if needed to support medical necessity.
3. Identifies, researches, and corrects or routes accounts on the coding and billing edit work queues to meet coding guidelines and facilitate accurate billing.
4. Queries the provider when documentation is determined to be insufficient, conflicting or ambiguous to elicit documentation reflecting the most accurate and specific conditions or procedures.
5. Maintains productivity and quality standards set forth in the District’s outpatient coding standards.
6. Utilizes online and hard copy coding reference materials.
7. Works closely with Outpatient Coding Supervisor and the health center/clinic medical and nursing staff regarding documentation and notification of charging issues.
8. Demonstrates evidence of professional growth by attending coding workshops, conferences and or seminars, maintaining required C.E. requirements (departmental and professional), and individual study and education regarding coding, reimbursement, and HIM competencies.
9. Performs other job related duties as assigned.

Qualifications

• Required Education and Experience:
  • High School Diploma, GED, or equivalent.
• Preferred Education and Experience:
  • 1 year outpatient coding experience.
• Required Licensure/Certification/Specialized Training:
  • At least one of the following registrations or certifications:
    • American Health Information Management Association (AHIMA): Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS), or Certified Coding Administrator (CCA).
    • American Academy of Professional Coders (AAPC): Certified Professional Coder (CPC) or Certified Professional Coder-Hospital Outpatient (CPC-H).

Location: Acclaim Magnolia / 200 W. Magnolia, Fort Worth, Texas 76104, United States