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Title

Medical Coder I II III  

About the Organization Thank you for your interest in exploring the professionally rewarding and personally fulfilling benefits with Tuba City Regional Health Care Corp. We look forward to continuing our discussion about the opportunity and purpose health professionals experience as valued members of TCRHCC team.

A TCRHCC career offers a chance to live and work within or near Native communities, providing clinicians/nurses/administrators with a unique opportunity to learn the heritage of the tribes we serve, discover traditions that have been carried down for generations and gain cultural insight into the beliefs and values of a deserving and appreciative patient population.
 
Description

PRIMARY FUNCTION:

The incumbent performs highly technical and specialized functions by reviewing, analyzing, and coding diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments.  The primary function of this position is to perform medical coding for continuing patient care and reimbursement.  The coding function is a primary source for data and information used in health care, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function(s) ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.  The potential for working remotely does exist as long as the factors in the remote workers policies can be met.

ESSENTIAL FUNCTIONS:

Certified Medical Coder I

  • Relies on instruction and pre-established guidelines to perform the functions of the job
  • Work under immediate supervision or team lead

Certified Medical Coder II

  • Relies on limited experience and judgment to plan and accomplish goals and performs a variety of tasks
  • Works under general supervision with a certain degree of creativity and latitude

Certified Medical Coder III

  • Relies on extensive experience and judgment to plan and accomplish goals
  • Performs a variety of tasks and may lead and direct the work of others
  • A wide degree of creativity and latitude and works independently; provides detailed reports to Supervisor/Manager
  1. Assigns and sequences medical 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.
  2. Abstracts all necessary information and assigns medical codes, which most accurately describe each documented diagnosis, surgical procedure and special therapy or procedure according to established guidelines.
  3. Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.  Correlates generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct medical code.  Analyzes provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct medical code.
  4. Coder’s accuracy/quality of coding must be at 95% per monthly, quarterly and yearly audit results (as determined by the facility compliance officer).  Coding productivity must meet best practices per patient types.
  5. Quantitative analysis – Performs a comprehensive review for 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 in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
  6. Qualitative analysis – 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.
  7. Enroll in continuing education courses to maintain certification.
  8. Performs other duties assigned by the Director or Lead Coder.

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an   employee to successfully perform the essential functions of this job.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical: Prolonged standing, regular reaching, bending stooping, moderate lifting in the performance of assigned duties.  May work nights, weekends, and holidays. Manual dexterity, visual acuity, and the ability to speak and hear are required.

Mental: Must carry out daily duties and project assignments in an independent manner utilizing knowledge and experience of the section time limits, procedures, and objectives to establish individual work priorities. High levels of mental concentration are required. 

 
Position Requirements

NECESSARY QUALIFICATIONS:

Education, Experience, Certification:

Certified Medical Coder I

  • Must have High School Diploma or GED
  • Must have at least three (3) months to a year of experience with medical coding
  • Must have and maintain current coder certification with AHIMA/AAPC

Certified Medical Coder II

  • Must have High School Diploma or GED
  • Must have two (2) years of medial coding experience
  • Must have and maintain current coder certification with AHIMA/AAPC

Certified Medical Coder III

  • Must have High School Diploma or GED
  • Must have five (5) years of medical coding experience
  • Must have and maintain current coder certification with AHIMA/AAPC 
 
Close Date  
Exempt/Non-Exempt Non-Exempt  
Full-Time/Part-Time Full-Time  
Location Tuba City Regional Health Care Corporation  
Navajo/Indian Preference Applicants who are enrolled members of the Navajo Nation, Hopi Tribe or San Juan Southern Paiute Tribes and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position.  
Open Date 1/28/2022  

This position is currently accepting applications.

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