Revenue Cycle Medical Coder

Job InformationTitle: Medical Coder Department: Revenue Cycle Status: HourlyPosition Classification/Category: Business Services Location: Corporate Office Reports To: Business Service Administrator Direct Reports: None Summary of Position: With oversight from the Business Services Administrator, The Medical Coder is responsible for all aspects of medical coding and billing corrections for Kintegra Health ambulatory care services. This includes office, outpatient and ancillary services. The Medical Coder will understand ICD-9, ICD-10, CPT and HCPCS coding; have the ability to interpret insurance guidelines relative to medical coding; understand daily balancing techniques; understand abbreviations and medical terminology; have the ability to read a medical chart; and be able to understand the basic components of medical and ancillary procedures. Experience: Three to five years billing and coding experience in an ambulatory care setting preferred.Education: Graduate of approved HIA or HIT program or equivalent, preferredRequired Skills: Knowledge of Medical Record content for outpatient visits. Knowledge of medical terminology, anatomy & physiology, DRG and APC assignment, and ICD9, ICD-10-CM & CPT coding systems. Ability to examine the chart and verify documentation needed for accurate code assignment. Organized and attention to detail and quality. Ability to prioritize workload and strong recall and recognition skills. Ability to perform computer functions in a Microsoft Windows. Good verbal, written and computer communication skills. A valid NC driver’s license with the ability to travel between sitesAdditional Skills Suggested: BilingualLicensure: Current RHIA, RHIT, CCS, CPC or equivalentCertifications: CPR Key Responsibilities Review identified coding or billing errors from third party vendor from all Kintegra Health sites and work to correct the errors within 30 days of notice. Demonstrate strong analytical skills in order to resolve outstanding insurance claims for all payers Review provider documentation to deliver feedback regarding coding appropriately for level of service required and deliveredEnsuring documentation compliance with all coding mandates and reporting requirements Retain a working knowledge of PMCH, MU, HEDIS and other regulatory quality initiatives to support care team members in performing, documenting and appropriately coding to meet desired quality benchmarksEvaluate clinical documentation to ensure quality, completeness and consistency as it relates to code selection and reimbursement. Possess thorough knowledge of documentation requirements, unbundling edits and physician billing issuesPossess expertise in guiding billable providers in translating patient information into alphanumeric medical codes suitable for billing ensuring facility is reimbursed for all possible procedures.Investigate for possible insurance fraud and report any potential fraud to the Corporate Compliance Officer, working with that role to eliminate or mitigate any potential compliance violationsRemain abreast of current best practices for coding and billing and provide guidance in formulating documentation protocolsUtilize the AIDET communication model to communicate with customers.Actively participate in Quality Improvement Initiatives in your department and in other areas of the department. Perform other duties as assigned Kintegra Health Core RequirementsPatient First - An approach to care that holds primary, the well-being and desires of the patientBuild not Blame - Focusing first on finding fault with the process rather than the personIntegrity and Honesty - Fostering an acceptance of openness, honesty, and fairness in words, deeds and the use of organizational resources judiciously for both internal and external customersCooperation and Flexibility - Related to an internal believe that we function as part of an interdependent team with only shared gains or losses thereby committed to assisting whenever possible beyond the prerequisite job descriptionCulturally Sensitive - Always working toward increasing one's ability to understand, communicate with, effectively interact and care for people across cultures, while having an acute awareness of one's own culture.Kintegra Health is a community sponsored, family-centered provider of health care, health education and preventive care services without regard to the ability to pay. We screen potential employees to first ensure alignment with our core requirements followed by the requisite position skills set. In doing so we need staff committed to this mission who do their best to live and work the characteristics of our core values as we strive to care for ever increasing members of the communities we serve.Our goals are:To provide continuing comprehensive and accessible primary care services to individuals and families of all economic levels within Gaston County.To provide primary care services to meet the physical as well as social health needs of individuals and families, promoting health maintenance, providing timely diagnostics, treatment and referral services.To emphasize preventive care through patient and community education to help individuals become aware and responsible for their own health behaviors.To employ an interdisciplinary team approach in collaboration with other community providers to provide a continuum of appropriate patient/family-oriented care in a cost-effective manner.

Salary : $15 - $21