Certified Medical Coder

University Physicians' Association, Inc. (UPA); Knoxville (TN); Hybrid; USD 60,000 - 85,000; Full time

Benefits offered by this job

Full benefits package

PTO

Medical

Dental

Vision

STD/LTD

Life Insurance

401k + Company Match

Job summary

University Health Network is seeking a full-time Certified Medical Coder to focus on risk adjustment for the clinically integrated network associated with The University of Tennessee Medical Center and University Physicians’ Association. The position requires normal business hours Monday-Friday and is remote with occasional on-site meetings; candidate must be located in the Knoxville, TN region.

You will perform detailed documentation reviews, assign ICD-10-CM, CPT, HCPCS codes and modifiers for

Qualifications

• Current CPC or RHIT certification required.
• CRC required within 6-months of hire.
• Preferred at least two years of professional medical coding experience in ambulatory care.
• Preferred experience and knowledge of HCC coding.
• Must be a team player with effective written and verbal communication.
• Must be initiative-taking, highly organized, and have excellent time management.
• Must possess good problem solving and critical thinking skills.
• Attention to detail and proficiency in Microsoft Outlook, Word, Excel, and PowerPoint.
• Demonstrates integrity by adhering to high standards of conduct.

Responsibilities

• Performs coding services while meeting daily production and quality goals.
• Review clinical documentation to ensure accuracy and compliance with coding standards.
• Assign ICD-10-CM, CPT, HCPCS, and modifiers for professional services.
• Collaborate with providers to clarify diagnoses and procedures.
• Use CMS and HHS risk adjustment mapping tools to identify HCC opportunities.
• Maintain HIPAA privacy and comply with policies.

Skills

CPC certification

RHIT

HCC coding experience

Ambulatory care experience

Communication skills

Time management

Attention to detail

Microsoft Outlook proficiency

Team player

Problem solving

Education

CPC or RHIT certification

CRC within 6 months

Tools

Microsoft Outlook

Excel

PowerPoint

Job description

Description

University Health Network is looking for a full-time

University Health Network is looking for a full-time Certified Medical Coder to focus on risk adjustment for the clinically integrated network associated with The University of Tennessee Medical Center and University Physicians’ Association. This position requires normal business hours Monday-Friday. This is a remote position with occasional on-site meetings. Candidate must be able to maintain HIPAA privacy requirements when working from home. Candidate must be located in the Knoxville, TN region. This role involves performing detailed clinical documentation and risk adjustment reviews and accurately coding procedures and diagnoses using ICD-10-CM, CPT, HCPCS, and modifiers for professional services associated with The University of Tennessee Medical Center and University Physicians’ Association.

Essential Duties and Responsibilities (this list does not include all duties assigned)

Performs coding services while meeting daily production and quality goals

• Conduct thorough reviews of clinical documentation to ensure accuracy and compliance with coding standards.
• Assign appropriate ICD-10-CM, CPT, HCPCS, and modifiers for professional services.
• Collaborate with healthcare providers to clarify diagnoses and procedures to ensure accurate coding.
• Uses CMS and HHS risk adjustment mapping tools to identify HCC coding and documentation opportunities
• Participate in ongoing education and training to stay current with coding updates and guidelines
• Actively participates in designated team meetings
• Consistently meets coding productivity and accuracy standards while managing different responsibilities and workflows. If unable to maintain productivity and accuracy standards, team members will work onsite at the UHN office until standards are met and maintained.

Partners with providers, practice staff, and UHN Coding team to improve quality and efficiencies in coding and documentation

• Educates and coaches on compliant coding and documentation practices and accurate risk adjustment guidelines
• Facilitates and supports a culture of compliance, ethics, and integrity
• Recognized as an expert in risk adjustment coding compliance
• Interacts effectively and builds respectful working relationships across the organization.

Maintains HIPPA Guidelines for privacy

• Respects the privacy of all patients 100% of the time
• Understands and abides by HIPAA laws and regulations and UPA HIPAA policy at all times
• Obtains consent to release protected health information
• Reports all HIPAA issues to the Supervisor

Remains current on coding rules and guidelines

• Remains up to date with official AMA ICD-10 coding guidelines and regulations, Medicare, other MA and commercial plans, and internal guidelines
• Remains up to date with CMS and HHS HCC risk adjustment models
• Meets CEU requirements and remains in good standing with AAPC/AHIMA certifications

Full benefit package available, including PTO, Medical, Dental, Vision, STD/LTD, Life Insurance, 401k + Company Match, and more!

Requirements

• Current CPC or RHIT certification required.
• CRC required within 6-months of hire
• Preferred at least two years of professional medical coding experience in an ambulatory care setting. E/M coding experience a plus.
• Preferred experience and knowledge of HCC coding, knowledge related to chronic illness diagnosis, treatment, and management
• Must be a team player with effective written and verbal communication, relationship-building, and interpersonal skills
• Must be initiative-taking, highly organized, and have excellent time management
• Must possess good problem solving and critical thinking skills
• Exceptional attention to detail and proficiency in Microsoft Outlook (Outlook, Word, Excel, and PowerPoint)
• Demonstrates integrity by adhering to high standards of personal and professional conduct