Coder, Certified, Health Information Management, Full Time, Day

06 Valley Physician Services; United States; On-site; USD 44,000 - 55,000; Full time

Benefits offered by this job

Medical/Prescription, Dental & Vision

Group Term Life Insurance & AD&D

Flexible Spending Accounts

Job summary

Valley Health System seeks a senior coder/auditor to review billed services and ensure accurate clinical documentation. You will assist in payor and government audits, respond to payor denials and inquiries, and research new coding guidelines and codes.

You will support VHS corporate compliance and liaise with physicians and staff. Required CPC certification and extensive ICD-9/ICD-10 and CPT knowledge, plus 8–10 years' experience.

Qualifications

• CPC (AAPC) certification is required.
• Degree in health services management, business, or related field preferred.
• Extensive knowledge of ICD-9-CM/ICD-10-CM and CPT coding principles and guidelines required.
• Extensive knowledge of reimbursement systems required.

Responsibilities

• Review billed services and provide recommended corrections related to clinical documentation.
• Assist in reviews and responses to payor and governmental audits.
• Assist Chief Business Officer in replying to payor denials and patient inquiries.
• Review and research new coding guidelines and codes.
• Assist VHS corporate compliance staff.

Skills

Medical terminology

ICD-9/ICD-10 coding

CPT coding

People skills

Computer skills

Education

CPC (AAPC)

Health services/Business degree preferred

Tools

Practice management software

Job description

Position Summary

Conducts reviews and provides recommended corrections of billed services as it relates to clinical documentation for the VMG enterprise. Assists in the reviews and responses to payor and governmental audits of billed services. Assists the CBO in replying to payor denials and patient inquiries as it relates to services billed. Reviews and research new coding guidelines and codes. Assists the staff of the VHS corporate compliance.

Education

CPC (AAPC) required. Degree in Heath Services Management, Business or another related field preferred. Extensive knowledge of ICD-9-CM/ICD-10 CM and CPT coding principles and guidelines required. Extensive knowledge of reimbursement systems required.

Experience

Eight to ten years' experience (college degree can be substituted for years of experience) and expertise in ICD-9 CM/ICD-10 CM Coding.

Special Skills

Medical Terminology, ICD-9 CM/ICD-10 CM and CPT-4 Coding, Ability to relate to people and work closely with physicians and other VMG staff. Computer skills and knowledge of practice management software.

Job Location

Kraft Center Shift Day (United States of America)

Benefits

• Benefits Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees) Group Term Life Insurance and AD&D(Full Time Employees) Flexible Spending Accounts and Commuter Benefit Plans Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.) 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness Retirement Plan Tuition Assistance Employee Assistance Program (EAP) Valley Health LifeStyles Fitness Center Membership Discount Day Care Discounts for Various Daycare Facilities

Salary

Joining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits. Pay Range: $32.36 - $40.45 (per hour)

EEO Statement

Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.

About us

Valley Health System is proud of our commitment to improving the lives of our patients, our staff, and the communities we serve. When you join Valley, you’re joining a team of people who believe in delivering quality care in a supportive environment where top performance is both nurtured and recognized. Our culture is built on going the extra mile, doing what’s right, and always striving to be better together.