Certified Medical Coder

Our Mission

All of us, for each of you, every time.

Our Vision

Together, serving as the trusted regional healthcare partner.

Our Values

Listen~Love~Respect~Excel~Innovate

At Samaritan, we do more than deliver healthcare-we make a meaningful difference in the lives of our community every day. We're committed to creating an exceptional workplace where professionals feel valued, supported, and inspired to provide outstanding care to every patient we serve.

The Certified Medical Coder will be responsible for reviewing all medical record information to extract data and apply appropriate diagnoses and procedure codes for billing, internal and external reporting, research, and regulatory compliance. Accurately codes conditions and procedures as documented in the Official Guidelines for Coding and Reporting. Acts as a coding resource for team members as well as medical staff, ensuring coding practices fall with the established compliance guidelines for ICD-10-CM/PCS, CPT & HCPCS according to American Medical Association (AMA) and CMS. Assigning codes utilizing an electronic encoder application in accordance with the practice policy and regulatory guidelines. This is a full-time remote position that will be required to come onsite for onboarding and equipment pick-up (2 DAYS ONLY). This position is a full-time role working Monday-Friday from 7:00am-3:30pm.

ESSENTIAL FUNCTIONS

• Ability to extract and assign ICD-10CM/PCS, CPT, Modifiers and HCPCS codes per coding guidelines.
• Performs ICD-10-CM/PCS and CPT coding and abstracting, and transmit abstracts as required.
• Codes all records based on documentation, following coding guidelines, payer regulations and ethics.
• Ability to research Coding Clinics.
• Assists with coding audits from payor and RAC audits providing rebuttal letters if needed.
• Apply knowledge of coding rules, review and resolve CCI/LCD/NCD's and modifier edits.
• Work with Revenue Integrity & Compliance on audits and coding questions.
• Effectively uses software and/or coding resources to verify coding accuracy.
• Provides feedback to providers using authorized methods as directed by department policy. Such as physician queries for incomplete/contradictory diagnosis or greater specificity.
• Works with clinical staff to resolve coding issues and related problems.
• Participates in educational activities as requested (i.e. attending meetings with coding auditors or completing assigned education).
• Reviews accounts and charges in EPIC, Cerner, or Meditech EHR systems.
• Maintains confidentiality of the medical record, reports and Samaritan business
• Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest trends in field of expertise.
• Perform general office and clerical duties (i.e. answer phones, distribute mail and maintain general office supplies). Operates office equipment.
• Ensures no injuries to self or others by following safe work practices and policies. This includes, but is not limited to: security and safety, understanding of MSDS, equipment, infection control, fire, disaster, safe lifting and body mechanics.
• Ensures self-compliance with organization policies and procedures as well as labor agreements.
• Ensures the interface with team members and other support groups is conducted in a courteous and efficient manner conducive with the organization's values.
• Conducts self in a professional manner and ensures personal appearance meets the standards necessary to perform the job function while representing the organization.
• Ensures that additional accountabilities, as may be required by management, be handled in a manner necessary to meet organizational standards.

WORK ENVIRONMENT

The professional in this position reports to the Manager of Health Information Management. This position works closely with clinical professionals and other healthcare professionals in order to provide high quality services to all customers.

EDUCATION & EXPERIENCE

• Education:

• High school diploma or equivalent required.

• Associates degree preferred.

• Certification:

• RHIT, CCS, RHIA, CPC, CPC-H, CPC-A or CCA.

• Experience:

• Minimum of 1 year experience coding.

• Skills/Competencies:

• Knowledge of ICD-10, CPT coding, medical terminology, and insurance billing.

• Understanding of DRG's for Inpatient Facility coding positions desired.

• Training and/ or experience in Medical Terminology

• Anatomy and Physiology classes

• Experience with EPIC EHR desired.

• Excellent interpersonal, written and verbal communication skills.

• Excellent customer service skills.

PHYSICAL REQUIREMENTS

• Occasional standing, walking, lifting, reaching, kneeling, bending, stooping, pushing and pulling. Light physical effort, ability to lift up to 10 lbs.
• Ability to communicate using verbal and/or written skills for accurate exchange of information with physicians, nurses, health care professionals, patients and/or family, and the public.

As a Samaritan professional, you will be asked to carry out the Mission, Vision, Values, and Strategy of Samaritan, personifying service and operational excellence including the creation and maintenance of the best patient, professional, physician, and student experience.