Coder I, Coding - 21967

Renaissance Medical Foundation; McAllen (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Renaissance Medical Foundation is seeking a Coder I for CodingUS:TX:McAllen to review clinical documentation and assign ICD-10-CM codes for outpatient encounters. You will ensure accurate coding and support billing accuracy with 3M Coding Software.

Ideal candidates have CCS-P or related certifications and solid knowledge of ICD-10-CM, CPT, and APC guidelines, with strong research and attention to detail. On-site coding position in McAllen, Texas.

Qualifications

• Experience in medical coding and terminology required.
• Understanding of HIPAA laws and ethics.
• Ability to perform productive research quickly.
• Ability to work with minimal interruptions.

Responsibilities

• Code outpatient procedures using ICD-10-CM, CPT, and APC guidelines.
• Use 3M Coding Software for coding accuracy.
• Code various outpatient record types (EMR, Radiology, RMF Clinics).
• Attach HCPCS Level I and II modifiers for billing.

Skills

Medical coding

HIPAA compliance

Research ability

Attention to detail

Education

CCS-P certification

Tools

3M Coding Software

EMR systems

Job description

Coder I, CodingUS:TX:McAllen | Health Information Management | PRNDHR Health - US:TX:McAllen - DaysSummary:

Position Summary

Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM codes for billing, internal and external reporting, research, and regulatory compliance. Accurately code outpatient conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient encounters. Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures. Utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and procedures. Reviews documentation to verify and, when necessary, correct the patient disposition upon discharge. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.

Position Education/Qualifications

CCS-P, CCA, CPC, COC, CIRCC, CTR, CIC, CPC-P, CPC-H, Specialty, or Medical coding certification program preferred

Job Knowledge/Experience

• Experience and/or training in medical coding, medical terminology and anatomy and physiology required.
• Requires reasoning ability and good independent judgment
• Ability to perform productive research quickly
• Requires working with minimal interruptions
• Must have an understanding of laws and ethics related to health insurance, medical billing and Health insurance Portability and Accountability Act (HIPAA)

Position Responsibilities

Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices

• Accurately Codes outpatient procedures according to most current ICD-10-CM, CPT and APC guidelines
• Utilizes computerized 3M Coding Software
• Ability to code outpatient record types such as: EMR, Radiology, Series, RMF Clinics, etc…
• Ability to accurately attach HCPCS Level I and Level II modifiers for billing purposes
• Must meet volume requirements of 120-150 accounts coded daily
• Meets quality standards of having 95% of charts coded accurately
• Must take initiative in researching to further his/her own knowledge in coding
• Must research 3M Coding references for final coding
• Must be able to validate CPT and procedure description
• Must be able to identify medical abbreviations, terms and their meanings
• Must be able to multitask
• Maintains a good working relationship within the department, other departments, and medical staff
• Codes all available records in a timely manner
• Meets productivity standards set forth by the coding manager
• Communicates with Coding Manager to solve problems and to clarify coding issues
• Assist the business office with clearing reimbursement and denial issues
• Clears Aeos in a timely manner
• Communicates with other departments to obtain pertinent information related to
• Attends workshops, seminars or conferences that pertain to position and that fulfill CE hour requirements
• References updated ICD-10-CM/PCS, CPT, and HCPCS Level II electronic code book references as needed
• Reviews Coding Clinic updates and continuing education periodicals in a timely manner
• Adheres to the Health Information Management Policies and Procedures for Coding
• Adheres to the Coding Compliance Plan
• Follows the AHIMA Standards of Ethical Coding
• Maintains confidentiality and safeguards all patient related information.
• Performs other duties as assigned

Other information

(Chain-of-command)1. Coding Supervisor ? 2. Coding Director ? 3. Executive Physician /VP of Medical Affairs

Lines of Responsibilities

• Light/moderate lifting up to 20 lbs, from the floor to shoulder height.·Yes·Kneeling·Yes·Must be able to assist other employees with lifting more than 20 lbs.·Yes·Walking·Yes·Light/moderate carrying up to 20 lbs.·Yes·Standing/Squatting·Yes·Straight pulling·Yes·Sitting·Yes·Pulling hand over hand·Yes·Pushing·Yes·Repeated bending·Yes·Stooping/Bending·Yes·Reaching above shoulder·Yes·Climbing Stairs·Yes·Simple grasping·Yes·Climbing Ladders·No·Dual simultaneous grasping·Yes·Depth Perceptions needed·Yes·Ability to see·Yes·Identify Colors·Yes·Operating office equipment·Yes·Twisting·Yes·Operating mechanical equipment·Yes·Crawling·No·Ability to read and write·Yes·Ability to Count·Yes·Ability to hear verbal communication without aid·Yes·Operating Personal Vehicle·Yes·Ability to comprehend written/verbal communication·Yes·Other: Ability to deal with stress·Yes·OSHA Category·IIIB. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.C. Occupational Exposure: This position has minimal to no exposure to blood

Customer Service

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

Age Specific

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.

Americans with Disabilities Act (ADA):A. Essential Duties

Indicated by bold print within performance standards, preceding individual numbered criteria.

Working Conditions

OSHA Category·IIIB. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents. C. Occupational Exposure: This position has minimal to no exposure to blood