Position Summary:

The Certified Coder is a key position in two ways: First, the employee will be responsible for abstracting medical record data and assigning/reviewing codes using current clinical classification systems appropriate for the type of care provided. Second, the employee will be able to review Medicare Risk Adjustment, understanding Medicare Advantage Plans and evaluating medical records with attention to detail. Essential Functions Reviewing and assigning codes to diagnosis and procedures in order to ensure proper financial reimbursement from insurance companies. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. Conducts claims audits/reviews, identifying opportunities for improving. The Certified Coder is responsible for performing Risk Adjusted (RA) coding reviews and related analysis to optimize RA coding opportunities throughout primary care. Communicates with physicians and office staff regarding records needed for chart reviews related to the Risk Adjustment process. Serves as a Subject Matter Expert and resource in Clinical Documentation. Performs chart reviews for appropriateness and completeness of diagnostic codes based on CMS HCC categories. Collaborates in the development of coding or risk adjustment tools/training aides for contracted providers and staff. Additional Duties & Responsibilities Ability to maintain discretion when handling confidential information. Adhere to HIPAA rules and regulations. Works in cooperative fashion with other team members. Demonstrates proficiency with the practice management system, appropriate to job responsibilities. Acts as liaison between Providers and Insurances Companies Assists staff training as needed at all levels. Acts as intermediary between UCHC and patients when necessary. Travels to UCHC clinic locations on an as needed basis Participates in inter-disciplinary task forces and work groups as relevant. Other duties as assigned. Qualifications/Requirements High School Graduate plus 1or more years of experience working in coding Reliable means of transportation and proof of valid vehicle insurance. Certified Professional Coder Licensure/Certification Valid Arizona driver's license Current CPR certification Experience/Skills Computer literacy required with knowledge of practice management software, electronic claims, proficient in Microsoft Office products. Ability to communicate effectively with patients, insurance company representatives and co-workers both verbally and in writing using the English language. Ability to speak Spanish is desirable, but not required. Solid problem solving and decision-making capabilities and the ability to handle stressful and urgent situations primarily involving patient billing concerns. Well organized, ability to prioritize, good planning skills, patience, self-starter and positive attitude. Attention to detail and ability to work independently. Prior accounting/bookkeeping experience desirable. Ability to add, subtract, multiply and divide all units of measure, using whole numbers, fractions and decimals. Ability to compute rate, ratio, and percent and to draw and interpret graphs such as bar graphs and pie charts. Knowledge of medical terminology and anatomy a plus. A positive, professional attitude. A team player; able to work in and foster a team environment.

Job Type:

Full-time Pay:

From $41,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance

Experience:

ICD-10: 1 year (Preferred)

Work Location:

In person