MEDICAL RECORDS CODER/ACCOUNTS RESOULTION SPECIALIST

Description Jackson Parish Hospital is seeking a full-time Medical Records Coder/Account Resolution Specialist. This position comes with a full benefit package including medical, dental, vision, life insurance, retirement, short and long-term disability, holiday pay, ATO (accrued time off), and other supplemental plans. The Medical Records Coder/Account Resolution Specialist is responsible for the coding of clinical records using the coding system and researching/resolving denials and assisting with office functions.

ESSENTIAL FUNCTIONS/ RESPONSIBILITIES

• Performs coding of clinical records, sequences diagnoses and procedures, and assigns modifiers.
• Monitors charts for medical necessity and alerts providers for proper documentation.
• Acts as a resource for questions regarding coding and billing procedures.
• Ensures that records are coded within a timely manner usually within 24 hours after chart is ready for coding.
• Codes medical records for Clinics and Outpatients, thoroughly reviewing charts to ascertain all pertinent diagnoses and procedures.
• Maintains and ensures patient confidentiality at all times following all HIPAA regulations.
• Responds to requests for information in a professional and courteous manner.
• Participates in quality and performance improvement activities, both departmental and hospital wide.
• Responsible for providing quality customer service while performing and resolving patient account issues.
• Researches and resolves clinic or hospital billing issues and complete necessary follow-up correcting any denials.
• Monitors charges, making sure they are correct.
• Daily deposit verification.
• Help cover the Switchboard if needed.
• Works ques in Cerner. Uses Clearinghouse to find remits.
• Perform other assigned duties as necessary to support the Business Office or as assigned by supervisor.
• Informs management of any operational issues or customer satisfaction issues.
• Check email daily.
• Reports to work on time and as scheduled; completes work within designated time frames.
• Attends staff meetings as scheduled.
• Represents the organization in a positive and professional manner.
• Adheres to JPH policies and procedures.

This description is a general statement of required essential functions performed on a regular and continuous basis. It does not exclude other duties as assigned. Requirements

EDUCATION, TRAINING, AND EXPERIENCE

High School graduate or equivalent. Associates degree or equivalent in work experience required. Knowledge in medical and anatomical terminology preferred. Knowledge of classification systems and coding guidelines required. Knowledge of Medicare and other third-part billing requirements is preferred. Minimum of (1) year of related work experience in a health care setting preferred. ICD-10 & CPT and HCPCS Code knowledge preferred. Insurance knowledge preferred.

LICENSURE/CERTIFICATIONS

AAPC, AHIMA, or ArchPro certification with experience in related Business Office functions. LANGUAGE and

PROFICIENCY REQUIREMENTS

Able to communicate effectively in English, both verbally and in writing. Strong written and verbal skills.

SKILL REQUIREMENTS

Ability to work alone or with minimal supervision. Professional/Courteous rapport with patients, families, co-workers, physicians and visitors. Ability to work under and handle stress in an appropriate manner. Ability to work long hours between breaks and meals, if necessary. Basic computer competency. Must be proficient in Microsoft Word, Outlook, and Excel.

MACHINERY/TOOLS/EQUIPMENT REQUIREMENTS

Ability to operate and troubleshoot telephone, fax machine, copy machine, computer, printer/scanner and efax.