Clinic Coder II

Job Summary and Responsibilities

As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently.

Every day you will accurately translate patients' medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards.

To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time.

• Accurately abstract information from the medial records into the appropriate coding systems, ensuring compliance with established guidelines.
• Determine the most appropriate diagnosis after a thorough review of the medical records. Work closely with practice staff with regards to coding and assignment of a MS-DRGs (Diagnosis Related Group) and APCs (Ambulatory Payment Classification).
• Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. Ensure through and compliant coding to support patient records and submission of billing for payment.
• Accurately sequence diagnostic and procedural codes according to organization specified procedures and assigns MSDRG/APC as appropriate. Provide codes various departments upon request.
• Enter and validate charges using appropriate tools and validates diagnoses with the medical documentation provided.
• Compare charges on accounts with the procedures coded and identifies any discrepancies. Notify Coding Manager of any discrepancies' and collaborates as needed to rectify the account.

Job Requirements

Required

• Certified Professional Coder (CPC), or
• Certified Professional Coder Hospital Apprentice (CPC-H), or
• Certified Professional Coder Apprentice (CPC-A), or
• Certified Coding Associate (CCA), or
• Cardiology Coding, or
• Certified Coding Specialist (CCS), or
• Certified Coding Specialist - Physician Based, or
• Certified Cardiovascular and Thoracic Surgery Coder (CCVTC), or
• Certified Health Care Compliance, or
• Certified Interventional Radiology Cardio Coder, or
• Certified Professional Coder Hospital, or
• Radiology Certified Coder, or
• Registered Health Information Administrator, or
• Registered Health Information Technician (RHIT)

Preferred

• Prior Healthcare Billing Experience

Where You'll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

#Orthopedics #General Surgery #Trauma #PlasticSurgery #Urology #PMR #Pain #Women'sHealth #Gastroenterology #HMS