Coder

DaMar Staffing; Nevada (MO); On-site; USD 22,000 - 30,000; Full time

Job summary

DaMar Staffing seeks a Medical Coder to assign ICD-10 CM/PCS, CPT and HCPCS codes and support claims processing. The coder follows ICD-10-CM guidelines and applies medical terminology to health records.

The role involves coding across ages, querying providers for clarification, and assisting in the facility's billing workflow, with a base wage starting at $15.65/hour and incentive eligibility.

Qualifications

• CCS and CPC certification required.
• High school graduate or equivalent.
• Experience with medical terminology.

Responsibilities

• Assigns diagnosis/procedure codes using ICD-10 CM/PCS, CPT and HCPCS for diverse patient ages.
• Verifies coding accuracy using clinical information and medical terminology to reflect diagnoses and discharge status.
• Queries providers to obtain clarifications for code assignment.
• Ensures correct reimbursement classification and supports billing processes.
• Uses standard software tools (spreadsheets, email, information systems) in coding tasks.
• Spends most time on coding activities and adheres to health information regulations.

Skills

CCS

CPC

A&P

Medical terminology

Education

High school diploma

CCS/CPC certification

Job description

Medical CoderPay: Base Wage starting at $15.65; increased based on experienceIncentive Eligible Position: Yes

Summary Of Duties

A medical coder is a trained medical professional who uses specialized codes and alphanumeric diagnostic (ICD-10 CM, ICD-10 PCS, CPT and HCPCS) to record and interpret information about health conditions of patients. The medical coder follows the ICD-10 CM Official Coding Guidelines when entering the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis and claims processing.

Essential Functions

• Responsible for assignment of diagnosis/procedure codes using ICD 10 CM/PCS, CPT/HCS in various settings and for a wide range of ages from neonate to geriatric utilizing the OPTUM encoder.
• Validates coding accuracy using clinical information found in the health recordhealth record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology, and medical terminology to support the diagnosis and reflect clinical findings, and discharge status of patient.
• Consults with providers through queries to obtain further clinical information to assist with code assignment.
• Validates reimbursement classification system assignments.
• Assists in the facility's billing process.
• Utilizes common software packages such as spreadsheets, information systems and e-mail.
• Understands the role of various providers and disciplines throughout the continuum of care.
• Spends 95% of the time completing coding functions.
• In facility-wide adherence to health information services regulatory requirements.
• Verify DRG assignment based on PPS definitions and APC assignment based on OPPS definitions
• Performs E/M coding and charge capture for both the facility and physician.
• Assist with education of physicians and staff regarding reimbursement methodologies and documentation rules and regulations related to coding.
• Recognize UB data elements and manage unbilled, denied or suspended accounts
• Apply reimbursement methods for billing or reporting; interpret LMRP or payer policies to determine coverage.

Skills Abilities

• 1.Ability to communicate clearly and effectively with all levels
• 2.Ability to complete competency for CCS and CPC.
• 3.Ability to perform simple mathematical equations.
• 4.Ability to prioritize and complete multiple tasks simultaneously.
• 5.Effective oral and written communication skills.

Working Conditions

• 1.Exposure to distressed patients, families or visitors.
• 2.Possible exposure to inside environmental conditions.

Physical Demands

• 1.Requires standing, sitting or walking for up to 8 hours or longer per workday.
• 2.The ability to lift up to 50 lbs.

Qualifications

• 1.CCS, CPC, A & P required
• 2.High school graduate or equivalent.
• 3.Experience with medical terminology.

Preferred Qualifications

• 1.2+ years of experience
• 2.2 or 4 year Degree