Certified Coder

Job Description

Description:

Women’s Care is a leading healthcare provider committed to delivering high-quality patient care. We're currently seeking a detail-oriented and experienced Certified Coder to join our growing team. The Certified Coder will be responsible for ensuring the proper completion of electronic health records and proper assignment of ICD-10-CM, HCPCS II, and CPT-4 codes and ensuring compliance with federal regulations, insurance requirements, and internal policies.

About the Role:

This is a full-time opportunity working remotely, successful candidate must live in the state of Oregon. The position has an expectation of 40hrs per week (Monday – Friday) and we are proud to offer attractive pay and a great benefits package.

What will you do:

Reviews entered charges against daily schedule, hospital records, EMR documentation and fee tickets to ensure accurate posting and no missed charges, maintaining compliance with company, federal and third party insurance carrier billing rules and regulations.

Performs comprehensive review of records to ensure the presence of all component parts, including but not limited to: patient and record identification, required signatures and dates, and all other necessary data which appear to be indicated by the nature of the treatment rendered.

Reviews records, analyses provider documentation and ensures that ICD-10-CM codes, HCPCS-II codes, and CPT-4 codes are present and accurate for all diagnoses, procedures, and services performed prior to billing, making changes when necessary and appropriate.

Performs chart compliance audits to evaluate compliance with federal and state regulatory bodies.

Provides training to providers and support staff on coding requirements, regulations, and procedures to reduce future errors or omissions, and to ensure compliance.

Reviews and takes corrective action on rejected and denied claims as appropriate or assigned.Requirements:

What do you need to bring to the role:

Experience: Two years’ experience using ICD-10-CM, HCPCS II required.

Education: High School Diploma/GED required.

Professional license or certification: Active Coder Certification required.

Competencies that matter to us:

Business Effectiveness: Advanced knowledge of official coding conventions and rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.

Personal Effectiveness: Strong personal work habits with a high level of accountability and self-management skills that enable desired outcomes. Easily able to adapt and maintain composure, effective at time priority and management, and able to respond to feedback constructively.

Interpersonal Effectiveness: Strong communication skills, a teamwork mindset, and well-developed interpersonal capabilities that enable successful interactions with others. Engages well with the team/patients through respectful and inclusive conduct.

About Women’s Care:

Women’s Care was founded in 1988 and is Lane County’s oldest independent physician group specializing in women’s health. We have five clinic locations within Lane County and hold ourselves to the highest possible standard of care delivery through compassion, respect, and professionalism. Women’s Care takes care of all patients, from adolescence to menopause, and is one of the area’s strongest advocates for women’s health.

Women’s Care is an equal opportunity employer.

Full-time