Certified Medical Coder - University Health Network

Shelby American, Inc.; Knoxville (TN); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare organization is seeking a full-time Certified Medical Coder based in Knoxville, TN, to focus on risk adjustment for their clinically integrated network. The position involves detailed coding of clinical documentation while ensuring compliance with HIPAA. Candidates are expected to have essential coding certifications and a strong background in medical coding, along with a robust benefits package.

Benefits

Full benefit package including PTO

Medical, Dental, Vision insurance

401k + Company Match

Qualifications

• Requires current CPC or RHIT certification and CRC within 6 months.
• Preferred two years of professional medical coding experience in ambulatory care.
• Excellent time management and initiative-taking skills.

Responsibilities

• Conduct detailed reviews of clinical documentation for coding accuracy.
• Educate and coach on compliant coding practices.
• Manage HIPAA compliance and maintain patient privacy.

Skills

Attention to detail

Problem Solving

Communication

Education

CPC or RHIT certification

CRC certification

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Description

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