Job Description
The Coder reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement.
KEY RESPONSIBILITIES:
Assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures for documented information.
Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.
Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
Abstracts all necessary information and assigns codes (ICD-10, CPT & HCPCS), which most accurately describe each documented diagnosis, special therapy or procedure according to established guidelines.
Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
Performs a comprehensive review of the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data.
Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered.
Reviews the records for compliance with established third-party reimbursement agencies and special screening criteria.
Provides educational opportunities with the providers.
Notifies the physicians and follows up on the physician queries.
Independently uses discretion and judgment to evaluate clinical documentation.
Requirements
High school degree or equivalent required
CCS, CPC, or RHIT credential required or obtained within within 12 months of hire.
Two (2) years of coding experience using ICD-10-CM or equivalency preferred.
Two (2) years’ health care experience preferred.
Maintains confidentiality of patients at all times.
Skill in correlating generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct code.
Advance knowledge of medical codes involving selection of most accurate and descriptive code.
Proficiency with software and/or equipment (Microsoft Office applications including Outlook, Word, Excel and PowerPoint.)
Benefits
A full benefits package is available the first of the month following just one (1) month of employment!
Desert Parkway offers competitive benefits to include:
Medical insurance
Dental insurance
Vision insurance
401K Retirement Plan
Healthcare spending account
Dependent care spending account
PTO Plan with holiday premium pay
Discounted cafeteria meal plan
Life insurance (including plans for spouse and children)
Short- and long-term disability (with additional buy-in opportunities)
Pet Insurance
Identity Theft Insurance
Full-time