What are the responsibilities and job description for the CERTIFIED CODER/BILLER (ON SITE) position at MENA REGIONAL HEALTH SYSTEM?
At the direction and control of the Director of Revenue Cycle, the coder is responsible for reviewing and analyzing documentation present in the medical record for outpatient and/or professional services to assign diagnoses/procedure codes as described by the physician(s) of record. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Also assists with billing for the Physician office.
Principal Duties and Responsibilities
- Accurate and timely coding of all procedures and conditions of patient accounts
- Files all Insurance claims, follows up by phone or internet access
- Abstracting data from all records
- Assign principle diagnosis and procedure
- Assigns secondary diagnosis and procedure
- Codes Professional Services accounts
- Consequences of error in should be minimal
- Actively participate in all special events
- Performs other duties as assigned.
- May be required to work evenings, nights, and/or weekends on a regular or as needed basis
Qualifications:
Education: High School Diploma or equivalent experience.
Certifications: Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Association (CCA), Certified Professional Coder (CPC), or completed within 6 months of employment.
Other: Working knowledge and high level of experience with the ICD-10-CM and/or CPT/HCPCS coding classification systems, MS-DRG's, APC's, MPFS/RVU's, POA's, and HAC's; dependent upon whether an IP, OP, or Professional Services Coder
Experience: Prior coding experience in ICD-10 CM diagnoses/ procedure coding and HCPCS/CPT procedure coding in the acute care inpatient/ outpatient hospital or professional services setting. Three (3) years experience preferred
Physical Requirements: Physical requirements include, but may not be limited to:
- Reaching and grasping with arms and hands
- Proofreading and checking documents for accuracy
- Using a keyboard to enter or transform words or data
- Hearing in normal and soft tones
- Ability to read and understand written English words and sentences
- Ability to communicate orally and in writing in English words and sentences
- Ability to understand spoken English words and sentences
- Ability to communicate with others by telephone and e-mail
- Ability to perform duties and responsibilities promptly and with little direct supervision in planning and organizing workload
- Ability to judge the appropriate action in response to changes, circumstances or problems.
The demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Critical Demands:
- Understanding, supporting and promoting the organizational values inherent in the philosophy of Mena Regional Health System
- Performing job duties in a manner which demonstrates the values of Mena Regional Health System and its commitment to customer service
- Complying with Human Resources policies and procedures
- Responding to the needs of departments, personnel and Medical Staff consistent with hospital policy and objectives