CONFLUENCE HEALTH: Coder (Certified = virtual)

Employer: Confluence Health

Job Description:
Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

Employees of Confluence Health receive a wide range of benefits in addition to compensation.

Medical, Dental & Vision Insurance
Flexible Spending Accounts & Health Saving Accounts
CH Wellness Program
Paid Time Off
Generous Retirement Plans
Life Insurance
Long-Term Disability
Gym Membership Discount
Tuition Reimbursement
Employee Assistance Program
Adoption Assistance
Shift Differential

Up to $500 in Bonuses!
$250 Sign On Bonus and $250 Retention bonus after successful Probationary completion.

***Applies to external candidates only.

Certified Coders have the option to work virtually. Must reside in the state of WA, ID, MT, TX, OR or AZ.

The Coder will be responsible for reviewing all medical record information to select diagnoses and procedures. In accordance with ICD 10 CM/PCS, CPT, E/M, HCPCS and modifiers and coding guidelines, the coding specialist will assign appropriate codes and DRGs/APC for statistical and reimbursement purposes. Assigning codes utilizing an electronic encoder application in accordance with the practice policy and regulatory guidelines. Strong knowledge of medical terminology, anatomy & physiology, and pharmacology is needed.

Coder May be Coding for:
Facility Ambulatory
Facility ED/Outpatient
Professional ED
Professional Clinical Outpatient

Position Reports To: Business Office Manager

Essential Functions:
Reviews electronic coding workqueues for charges presented for proper use of diagnosis and procedure codes.
Receives paper charge tickets and appropriately prepares for charge entry.
Confirms accurate patient demographics on each ticket including MSN #, patient #, insurance information, etc. according to department policy.
Verifies service provider and billing provider number fields are populated.
Verifies referring provider number field is populated, if appropriate.
Applies knowledge of coding rules, verifies the proper use of the following items, and makes appropriate corrections:
Payor specific billing guidelines
ICD10 diagnosis codes
Multiple surgery guidelines
CPT4 E&M and procedure codes
DMERC guidelines
HCPCS codes
Rural Health guidelines
CCI edits
Effectively uses software and/or coding books to verify coding accuracy.
Reviews charge sessions for proper coding for special departments (e.g., Charity care, special accounts, MVA, L&I, etc.) and transfers session to the appropriate specialist for completion.
Responsible to stay current with billing guidelines and reimbursement rules and regulations.
Provides feedback to providers regarding incorrect coding using authorized methods as dictated by department policy.
Works with clinical staff to resolve coding issues and related problems.
Participates in educational activities as requested (i.e., attending meetings with clinical staff).
Completes production logs as required for department statistical reporting.
May be requested to perform job tasks not specifically related to primary assignments for the success of the organization as requested by management.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Position Requirements:
For employees working on site at any CH location, being fully vaccinated against COVID-19 is an essential requirement.

High School graduate or equivalent.
American Academy of Professional Coders certification [AAPC].
Proficient in the performance of basic math functions.
Possesses basic computer (e.g., spreadsheets, word processing) skills.
Must be a team player.
Maintains a positive, resourceful attitude toward achieving overall department and clinic goals.

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

Contact Person: McKenzie Lane
Phone: 509-436-6800
Email: [email protected]
Location: Virtual
Application Method: Email [email protected] or apply online
Base Pay: $19.47 - $31.07/hr

Posted on February 08, 2023

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