Coder Certified Professional

Purpose of Job This position is responsible for reviewing clinical documentation and charges for assignment of compliant, accurate and complete ICD-10, CPT, HCPCS codes and modifiers to capture appropriate professional codes. Professional codes primarily capture the complexity and intensity of physician/clinician care provided during a visit. Areas of focus will be Primary and Specialty care, Lab, ED, UC, Wound, Hospitalists, Nursing Home and Surgery. Legitimately and ethically optimize hospital/professional services payment based on Official Coding Guidelines and NCCI guidelines with physician/department consultation when appropriate.Responsible for coding all Ridgeview locations including but not limited to critical access hospitals. Job Functions Identifies, verifies, abstracts and translates medical record documentation to accurate and complete codes according to industry approved guidelines and department policies. Completes coding queue/tasks as assigned, maintaining a consistent level of productivity and accuracy. Maintain accurate coding-related information in other platforms, which may include claims clearinghouse and practice management system. Review and/or correct coding related denials. Participate in coder specific training and education. Maintain certification and continuing education hours. Attend mandatory training and on site meetings. Participate in and attend audit and education for physicians/clinicians and departments. Travel to and/or permanently work at a site within a clinic or hospital. Ability to work remotely after meeting and maintaining productivity and quality standards. Performs other duties as assigned. Minimum Education/Work Experience Coding Certification through AAPC or AHIMA Minimum 1-2 years of healthcare coding experience Knowledge/Skills/Abilities Knowledge of coding principals (ICD/CPT/HCPCS) Ability to meet and maintain the necessary background checks as aligned with position functions Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above Knowledge of Anatomy/Pathophysiology/Pharmacology/Surgical procedures Knowledge of professional fee billing practices Knowledge of basic computer functions and Microsoft Office applications Ability to prioritize and organize responsibilities License/Certifications AAPC, AHIMA Preferred Qualifications Experience using practice management system and clearinghouse Excellent analytical and critical thinking skills in order to identify, analyze, research and develop solutions for coding related issues and/or process improvement. Link to Employee Health Physical Demands Ridgeview Medical Center will not discriminate against or harass any employee or applicant for employment because of race, color, religion, sex, pregnancy, citizenship, national origin, age, disability, military service, veteran status, genetic information, union membership, creed, marital status, familial status, sexual orientation, gender identity, status with regards to public assistance, membership in a local human rights commission, or any other category that may be protected by law.