Coder and Coding Auditor (Part-time)

Job Description

Full-and Part-Time Employee Benefits

Medical, Dental, and Vision Insurance

Company paid life insurance policy up to $15,000

FSA and FSA Dependent care

Supplemental Insurance such as Short-term disability, Long-Term disability, etc.

401(k) retirement plan with company match

Paid time off (PTO) program to total up to 208 hours a year

Tuition and certification reimbursement for qualified employees

Employee Assistance Program (EAP).

Free parking at all locations.

Mileage reimbursement for company travel.

Compensation

Arkansas Hospice offers competitive wages and base our pay rates off each candidate’s years of experience. The rates that are listed on the Indeed job site are not ours and are not accurate.

POSITION SUMMARY

The purpose of this position is to be the primary Certified Coder for ICD-10-CM, CPT, and HCPCS coding and the auditing ICD-10-CM, CPT, and HCPCS completed by other coders. The position is responsible for ensuring that CPT coding is in compliance with the rules and regulations as these apply to each of Arkansas Hospice’s service lines. The coder/coordinator participates in other coding and medical record projects and functions, as assigned.

QUALIFICATIONS

Education: CCS, CCS-P, CPC, HCS-H or CPC-A coding credential or RHIT, RHIA required.

Experience: A minimum of three (3) years coding in a healthcare setting preferred. Must have experience in the assignment of ICD-10-CM, CPT, and HCPCS codes to medical record documentation. Expert knowledge of coding principles and guidelines related to regulatory compliance.

Additional Requirements: Must have valid driver’s license, automobile insurance, personal vehicle, ability to travel between locations and work flexible hours.

PRIMARY RESPONSIBILITIES

Reviews and assigns CPT codes to physician visits for the hospice service line that have been identified on billing sheets, Electronic Health Record (EHR) documentation, or other electronic system(s).

Reconciles hospice physician visits with EHR reports to ensure all visits that have been captured, verify correctly entered and submits weekly to the Patient Accounts Department. Collaborates on any discrepancies for corrections.

Responsibilities also include conducting audits of all service lines to ensure proper documentation supports the CPT codes assigned by other coders. Prepares audit reports; and identifies issues and/or trends.

Maintains up-to-date knowledge of rules and regulation as they related to regulatory compliance.

Serves as a resource for directors, managers, physicians, clinicians, and administrative staff to obtain coding information or coding clarification, as needed.

Queries physicians when code assignments are not straightforward or documentation is inadequate, ambiguous, missing, or unclear for coding purposes.

Meets regularly with the Director of Palliative and Primary Care to ensure ACO Compliance with Quality and Training requirements completed in a timely manner.

Ensure compliance with AAC/APC with all contractual quality, performance and/or risk-based measures, auditing 10 percent provider visits per month and reporting findings to Director of Palliative and Primary Care.

Ensure that the GUIDE program remains compliant with all requirements, auditing 10 visits per month and reporting findings to Director of Palliative and Primary Care.

Works collaboratively with all providers and organizations to identify opportunities and educate to achieve organizational goals.

Meets regularly with the Compliance Officer

Serves a back up for hospice diagnosis coder and other coders as needed.

Maintains strict confidentiality at all times.

Utilizes and models excellent customer service skills at all times; seeks opportunities to assist patients, families, and co-workers; demonstrates teamwork and cooperation.

Accepts direction and follows instructions from supervisor; seeks additional information as needed; works with minimal supervision.

Works collaboratively with all providers and organizations to identify opportunities and educate to achieve organizational goals.

Adheres to all organizational and departmental policies and procedures.

Continually meets organizational standards for attendance and punctuality; notifies supervisor in a timely manner when employee will be absent or late for work.

Attends all required meetings and in-services; seeks opportunities for additional professional development activities as appropriate.

Completes special projects and other duties as assigned by HIM Director the Compliance Officer.

COMPETENCIES, KNOWLEDGE, SKILLS, AND ABILITIES

THIS SECTION DESCRIBES WHAT KNOWLEDGE, SKILLS AND ABILITIES AN EMPLOYEE IN THIS POSITION SHOULD CURRENTLY POSSESS. THIS LIST MAY NOT BE COMPLETE FOR ALL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED FOR THIS POSITION.

Competent in the use of electronic medical records systems Microsoft Office, Forcura, and online research for coding issues.

Skill in organizing and prioritizing workloads to meet deadlines.

Ability to communicate effectively both orally and in writing with co-workers and physicians.

Ability to follow basic safety policies and procedures.

Ability to use good judgment and to maintain confidentiality of information.

Ability to work as a team player.

Ability to demonstrate tact, resourcefulness, patience, and dedication.

Ability to accept direction and adhere to policies and procedures.

Ability to work in a fast-paced environment and manage multiple priorities.

This position is designated as a safety sensitive position because it performs the above listed functions while regularly working with confidential and/or proprietary Arkansas Hospice and patient information, including but not limited to patient medical records, current or former employee information, Arkansas Hospice records, and other information that the employee regularly uses to perform job functions.

Part-time