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Title

Coder I 

Position Coder I  
Req Number BIL-23-00001  
Full-Time/Part-Time Full-Time  
Open Date 5/22/2023  
Description

SUMMARY: Open Door Community Health Centers (ODCHC) relies on billing for services rendered and generated revenue for a significant portion of its operating budget. ODCHC is committed to proper billing procedures, documentation and review in compliance with federal and state laws and regulations and private payor requirements. The Coder I – Medical, working in collaboration with other Billing and Coding staff and the Coding Manager, is responsible for ensuring that documentation submitted by providers are accurately coded, including a congruence of final diagnoses, professional services, and procedures. As needed, Coder I will query providers as needed to resolve discrepancies in documentation, apply proper assignment of ICD, CPT and HCPCS codes and/or perform coding addendums to assure timely reimbursement.

ESSENTIAL DUTIES AND RESPONSIBILITIES: These essential responsibilities are performed within the context of collaboration and coordination with ODCHC’s Finance Department.

  • Processes encounters submitted to Coder Review Work Queue to ensure congruent coding and documentation.
  • Performs comprehensive review of documentation and other records to ensure documentation, signatures, dates, results and other documents are complete and that all services and supplies are included.
  • Reviews encounters to ensure ICD diagnosis codes, CPT codes, HCPCS codes are supported and in compliance with payer’s coding and billing requirements or reassigns per documentation.
  • Reviews charge sheet to ensure correct code assignments based on internal and/or external documentation.
  • Collaborates with other coders and billers to resolve questions and discrepancies and foster quality and team work within the Coding Department; reports workflow and processing concerns related to PMS and EMR to Coding Manager.
  • Attends trainings as assigned and shares information with others as appropriate.
  • Mentors others on coding topics and workflows.
  • Adherence to ODCHC policies and protocols.
  • Other related duties as identified, assigned and required by Coding Manager.

 

QUALIFICATIONS: The successful candidate will possess experience and skills spanning a variety of areas:

  • Have and maintain Medical Coding Certification (COC, CPC or CCS preferred) and meet standards in accordance with Professional Member’s Code of Conduct.
  • Computer and computer application skills sufficient to accurately and efficiently use databases, spreadsheets, practice management and electronic health records systems, auditing and word processing software as required.
  • Strong interpersonal skills and ability to establish constructive working relationships within the ODCHC Finance Department and with providers and other clinical staff.
  • Ability to read, analyze and discuss moderately complex instructions, regulations and documents.
  • Ability to prepare routine reports and correspondence.
  • At least one year of related experience and/or training in clinical documentation improvement, coding, medical billing and/or auditing.
  • Ability to multi-task, work independently, address problems, handle complex situations in a calm manner, and work under time pressures and with diverse colleagues.

 

SUPERVISORY RESPONSIBILITIES: The Coder I – Medical is a non-supervisory position.

 

SUPERVISION AND SUPPORT: The Coder I – Medical reports directly to the Coding Manager. Significant collaboration with other members of the Finance Department is required.

 

PHYSICAL REQUIREMENTS: This is largely an office-based position. The physical requirements described are representative of those needed to successfully perform the essential duties of the position. Reasonable accommodation will be made to allow otherwise qualified candidates to perform these functions.

  • Speaking and hearing sufficient to communicate effectively by telephone, video or in-person at normal volumes.
  • Vision adequate to read documents, computer screens, forms and designs and to differentiate colors as necessary.
  • Ability to travel locally.
  • Ability to lift and carry boxes and other items weighing up to 25 pounds.
  • Ability to sit or stand for extended periods of time.
  • Ability to use keyboard and view computer screens for extended periods of time.

Hiring Range $21.23 to $25.46

 
Position Requirements

 

 
Wage Range Hiring Range $21.23 to $25.46  
EOE Statement Open Door is an equal opportunity employer. All applicants will be considered for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, medical condition, age, pregnancy, marital status, ancestry, veteran or disability status.”  
EmpID None Specified 

supervisorUID None Specified 

AscUDF_RecruitmentInfo_PriorYearsofExpereince None Specified 


This position is currently not accepting applications.

To search for an open position, please go to http://OpenDoorCommunityHealthCenters.appone.com



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