HIM Coder

The medical coder will be responsible for acquiring and mastering all entry-level coding functions, including assigning appropriate CPT, HCPCS, and ICD 10 codes, associated modifiers, appropriate NCCI edits, and resolving coding edits and denials. The position will include in-patient and out-patient coding. The position requires knowledge of revenue cycle coding practices and concepts.

POSITION RESPONSIBILITIES:

Review and analyze medical records to determine the medical diagnosis code and charges used to process claims for reimbursement. Track missing reports, notes or needed documentation to assign correct codes. Assist with denial or edits that include missed charges, modifiers, and diagnosis. Knowledge of medical terminology, disease processes and treatment procedures. Ability to manage time to meet productivity set by department.

PERFORMANCE CHARACTERISTICS:

• A fundamental understanding of coding (CPT and ICD-10) documentation requirements (for both billing and compliance), and the billing submission process.
• Must be able to work with various off-site EMR/billing systems from partner hospitals and clinics
• Detail-oriented, with organizational skills and the ability to manage time efficiently, prioritize tasks, and complete assignments consistently on schedule.
• Knowledge of database, spreadsheet, and presentation software.
• Basic communication skills, with the ability to interpret and present clinical financial information clearly and concisely.
• Interpersonal skills to work effectively in a team environment with internal staff in a wide variety of business and clinical areas.
• Knowledge of Federal, State, DNV, and other Regulatory agency requirements in relation to electronic medical record completion.
• Consistency, accuracy, promptness, and adherence to standard processes are of paramount importance.
• Must demonstrate critical thinking skills, the ability to work independently, and the knowledge base to trouble-shoot complex issues regarding medical records completion.
• Supports the organization and promotes a positive attitude.
• Adheres to dress code, appearance is neat and clean.
• Adheres to the HIPAA and privacy policies and procedures

EDUCATION & EXPERIENCE:

• Degree in a related area and/or equivalent experience/training.
• One year or more of related work experience & training
• RHIT, RHIA, or CCS or other Coding Certification
• Prior hospital or clinical experience
• Revenue cycle, finance, or accounting experience
• Strong computer skills; proficient in Excel, Word, and PowerPoint
• Strong analytical skills
• Strong written and oral communication skills
• Detail-oriented
• Experience working with large data sets
• Have great problem-solving skills, independent, and a positive attitude

LICENCE AND CERTIFICATIONS:

• RHIT or RHIA Certification Preferred
• Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), other applicable coding certification

This position is located in Blakely, GA.

Shift: 8 Hours, Monday through Friday