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.