Medical Coder

Salem Clinic; Keizer (OR); On-site; USD 34,000 - 52,000; Full time

Job summary

Salem Clinic Inland Shores in Keizer, OR is seeking a Medical Coder to translate patient records into CPT, ICD-10-CM, CPT-II, and HCPCS codes for billing and insurance purposes, ensuring accuracy and timeliness. You will review coding tasks, provide documentation feedback to the Director of EHI and nursing administration, and support quality efforts by addressing HCC/RAF coding gaps on payer portals.

The role requires strong knowledge of medical terminology and anatomy.

Qualifications

• Completion of high school or equivalent.
• Completion of course in health information management (claims analyst/medical biller/medical coding).
• Must have working knowledge of CPT, CPT-II, CPT-4, HCPCS and ICD-10-CM codes.
• Ability to communicate clearly, professionally and courteously; effective listening, writing, spelling, and reading skills.
• Communication skills must support face-to-face, telephone and written communication methods.
• Ability to follow oral and written instruction.
• Must have knowledge of medical terminology.
• Must have knowledge of human anatomy and physiology.
• Basic computer skills; familiarity with keyboard, 10-key, mouse, word processing and basic Microsoft operating system functionality.
• Ability to work quickly and accurately.
• Ability to interact with coworkers and providers tactfully, to be a team player.

Responsibilities

• Assign ICD-10-CM, CPT, CPT-II, CPT-4 and HCPCS codes to patient encounters and procedures.
• Receive denials from Health Plan Services, review documentation and supply new appropriate code or thorough explanation as to why the code cannot be changed.
• Recognize documentation requirements and assist director with feedback to providers.
• Meet deadlines set by the Clinic (e.g. close of month).
• Adherence to Mandatory Overtime protocol if activated.
• Maintain up-to-date knowledge of coding standards, medical terminology, and industry changes through continuous education.
• Maintain patient confidentiality.
• Ability to use Epic, EncoderPro.com, Outlook, Microsoft Excel, and Microsoft Word computer systems.
• Ability to navigate internet sites to research coding guidelines.
• Demonstrate telephone skills and good customer service techniques.
• Flexible response to changing needs and duties within department.

Skills

Medical coding knowledge

Communication skills

Team player

Attention to detail

Education

High school diploma

Health information management course

Tools

Epic

EncoderPro

Outlook

Microsoft Excel

Microsoft Word

Job description

Medical Coder

Join our team! Put your coding expertise to work where it makes a difference! Join Salem Clinic's team and help support quality patient care behind the scenes through accurate, timely medical coding in a collaborative, patient-focused healthcare environment.

Full time Opening at: Salem Clinic Inland Shores | 5900 Inland Shores Way N, Keizer OR 97303

About the Role

The Medical Coder plays a critical role in the healthcare industry by accurately translating patient medical records into standardized codes used for billing and insurance purposes. The Medical Coder will accurately assign a CPT code(s), HCPCS code(s), CPT-4 modifier(s) and all applicable ICD-10-CM codes to all assigned patient encounters and procedures in a timely manner and carefully review all tasks in assigned billing queue and return appropriate coding to HPS in a timely manner. To provide feedback on documentation opportunities to Director of EHI and nursing administration as appropriate. To support quality efforts via coding for HCC/RAF, adding CPT-II code(s) and working to close HCC gaps on payer portals.

Minimum Qualifications

• Completion of high school or equivalent
• Completion of course in health information management (claims analyst/medical biller/medical coding).
• Must have working knowledge of CPT, CPT-II, CPT-4, HCPCS and ICD-10-CM codes.
• Ability to communicate clearly, professionally and courteously; effective listening, writing, spelling, and reading skills.
• Communication skills must support face-to-face, telephone and written communication methods.
• Ability to follow oral and written instruction.
• Must have knowledge of medical terminology.
• Must have knowledge of human anatomy and physiology.
• Basic computer skills; familiarity with keyboard, 10-key, mouse, word processing and basic Microsoft operating system functionality.
• Ability to work quickly and accurately.
• Ability to interact with coworkers and providers tactfully, to be a team player.

Preferred Qualifications

• Completed educational program for medical coding.
• One year experience coding in an ambulatory setting.
• Current coding certification; CCA, CCS-P or CPC.
• Knowledge of office procedures, pathology and medications.
• Knowledge of coding software.

Responsibilities

• Assign ICD-10-CM, CPT, CPT-II, CPT-4 and HCPCS codes to patient encounters and procedures.
• Receive denials from Health Plan Services, review documentation and supply new appropriate code or thorough explanation as to why the code cannot be changed.
• Recognize documentation requirements and assist director with feedback to providers.
• Meet deadlines set by the Clinic (e.g. close of month).
• Adherence to Mandatory Overtime protocol if activated.
• Maintain up-to-date knowledge of coding standards, medical terminology, and industry changes through continuous education.
• Maintain patient confidentiality.
• Ability to use Epic, EncoderPro.com, Outlook, Microsoft Excel, and Microsoft Word computer systems.
• Ability to navigate internet sites to research coding guidelines.
• Demonstrate telephone skills and good customer service techniques.
• Flexible response to changing needs and duties within department.

Our mission at Salem Clinic is to improve the health of those we serve in a spirit of compassion and respect.

M-F, 8:00a-4:30p 40 hours/week