What are the responsibilities and job description for the Medical Coder I - PRN - Revenue Cycle - Tulsa position at Muscogee Creek Nation and Careers?
MINIMUM QUALIFICATIONS
Education – High school diploma or GED required; associate's or bachelor’s degree in Health Information Management or related field preferred
Experience – 1-2 years of experience in medical coding, with a focus on outpatient and ancillary coding preferred
Licenses & Certification – Certified Professional Coder (CPC), Certified Coding Specialist-Physician-based (CCS-P), or equivalent outpatient/ancillary certification required.
Knowledge & Skills –
Trained knowledge of medical terminology, anatomy, and physiology
Accomplished knowledge of assigning ICD-10-CM, CPT, and HCPCS coding systems
Well-versed knowledge of medical coding guidelines
Strong knowledge of Local Coverage Determination (LCD) and National Coverage Determination (NCD)
Skillful with encoding software and electronic health record (EHR) systems
Skillful with Microsoft Office Suite (Outlook, Excel, Word, etc.)
JOB SUMMARY
The purpose of this position is to accurately translate healthcare services, diagnoses, and procedures into standardized codes for billing, reimbursement, and data analysis using an international classification of disease systems. This position is for “as needed”. Incumbent reports to the Coding Supervisor/Manager regarding attendance, leave, and daily on-site/remote supervision.
WORK ENVIRONMENT
Work is performed in a normal business office environment. Potential for remote/hybrid work environment after a designated period of time and evaluation of coding accuracy and productivity. There is a moderate risk of exposure to infectious and communicable diseases, potentially hazardous chemicals, and biohazardous materials. Incumbent must be aware of all risks involved and be willing to take precautions as requested and required. Travel and occasional overtime during high-volume periods may be required.
PHYSICAL DEMANDS
Work requires the demands of normal office work in a business office as described in the work environment section above. Light lifting may be required to move files and materials to various areas within the office.
ESSENTIAL FUNCTIONS
The successful execution of the following will determine satisfactory job performance:
Coding Medical Records:
Review and analyze medical records for accurate coding of diagnoses, procedures, and services using ICD-10-CM, CPT, and HCPCS codes
Assign appropriate codes based on coding guidelines and payer requirements
Ensure all records are complete, compliant, and adequately documented
Quality Assurance:
Identify and correct coding errors to maintain quality and compliance.
Work with healthcare providers to clarify information in the medical record when necessary
Compliance and Regulation:
Stay updated with changes in coding standards, healthcare regulations, and payer policies
Ensure compliance with HIPAA and other relevant privacy and confidentiality standards
Claims and Reimbursement Support:
Assist with claims processing and resolving coding discrepancies that may lead to payment denials
Collaborate with billing departments to ensure accurate reimbursement for services rendered
Documentation Improvement:
Provide feedback to healthcare providers to improve documentation accuracy and completeness
Participate in clinical documentation improvement (CDI) initiatives to enhance the quality of medical records
Collaboration and Training:
Collaborate with co-workers, sharing expertise in complex coding scenarios
Participate in coding workshops, meetings, and training sessions to further education and knowledge
COMPETENCIES
Must adhere to productivity standards as set by MCNDH
Attention to detail and accuracy in coding
Strong communication skills to interact with healthcare providers and billing staff
Problem-solving skills for resolving coding issues
Ability to work independently and manage time effectively
Regular attendance is required
Performs other duties as assigned