Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $23.11 Maximum Offer $35.29 Now Hiring: CardioThoracic/Vascular Surgery Coder PRN Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote Certified Cardiothoracic Vascular Surgery Coder to join our team. Type of Opportunity: PRN Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Varied Days and Hours (United States of America) Responsibilities: Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Some key responsibilities include: - Must demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty deemed a critical business need by PHS Coding Leadership. - Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies. - Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner. - Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded, including the generation of appropriate queries, as needed. - Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area. This includes but is not limited to all ICD-9/10 CM, CPT-4, HCPCS, and DRG, APC and/or HHRG updates and changes. - Responsible for resolving any and all pre-bill edits, denials, etc. for assigned accounts. - Participates in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment. - Performs other functions as required. Qualifications: - High school diploma/GED required. - Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire. - Three to five years experience as a coder required. All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

• Perform accurate and timely quality reviews of internal and vendor coding team members using appropriate code sets and coding guidelines. • Develop and perform timely coding education to internal and vendor coding team members on coding systems, coding standards, protocols and Carle coding workflow as required based on quality review outcomes. • Perform as a production coder when needed in a manner aligned with current coding productivity and quality standards. • Share results of quality reviews to HIM Leadership with recommendations for education and training. • Compile and track statistics related to the review function, completed quality reviews, and follow up from those reviews. • Identify coder training needs, system issues, and/or documentation issues and report them timely to HIM leadership. • Review and respond to coding denials and coding questions as requested or assigned and perform clinical validation of appeal letters as needed. • Participate in system and new application testing as needed. • Provide denial trending data to leadership as requested. • Develop and perform HIM coding team member group education on coding topics identified during quality reviews and denial reviews.

• Review medical records and assign accurate codes for diagnoses and procedures. • Assign and sequence codes accurately based on medical record documentation. • Assign the appropriate discharge disposition. • Abstract and enter the coded data for hospital statistical and reporting requirements. • Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution. • Maintain a 95% coding accuracy rate and a 95% accuracy rate for APC assignment and meet site-designated productivity standards. • Be responsible for tracking continuing education credits to maintain professional credentials. • Attend Datavant Health sponsored education meetings/in-services. • Demonstrate initiative and judgment in the performance of job responsibilities. • Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues. • Function in a professional, efficient, and positive manner. • Adhere to the American Health Information Management Association’s code of ethics. • Be customer-service focused and exhibit professionalism, flexibility, dependability, and a desire to learn. • Handle a high complexity of work function and decision-making. • Possess strong organizational and teamwork skills. • Comply with all HIM Division Policies.

Where You’ll Work We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness. Mercy Hospital is an 82 bed, acute care hospital located in the scenic southwestern Colorado town of Durango. It is the only hospital in Colorado to be rated by Medicare with five stars for overall hospital quality. It is recognized for excellence in orthopedic and spine surgery and for outstanding patient experience and patient safety. Mercy has also received ten consecutive ‘A’ grades for patient safety from The Leapfrog Group. Our providers use state-of-the-art technology in an environment designed to promote wellbeing and healing of body, mind, and spirit. Among the many specialty services available at Mercy are emergency care (Level III trauma designation), surgical care, cardiac care (including interventional), Orthopedic and Spine Centers of Excellence, a Family Birthing Center, home care, hospice care more. Durango offers an exceptional quality of life with small town charm, excellent schools, and year-round, world-class outdoor recreation opportunities including snow sports, river sports, hiking, biking, camping and more. Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. The purpose of the Medical Staff Coordinator Senior position is to ensure quality patient care by effectively managing the Medical Staff's Governance and Credentialing and Privileging functions. This position manages multiple Medical Staffs which requires adapting to diverse organizational structures and cultures, compliance with various systems/policies and physically being present at different locations when necessary. This position functions with a great deal of autonomy in decision- aking/problemsolving. Their work products are essential components of Medical Executive Committees' and Governing Boards' functions. A summary of this position's responsibilities include: - Effective communications and full integration of services between the Medical Staff Services Departments and other site-specific departments at multiple facilities. - Prioritizes multiple department tasks and projects to ensure they are completed in the required timeframes. - Coordinates medical staff governance activities for multiple sites (credentials committee meetings, MEC, Peer Review, department meetings, identification verification, ED access/call schedules, reconciliation of payments with contract requirements, dues collection, etc.) hospital policies, Medical Staff bylaws, and regulatory/risk management standards. - Performs all aspects of the credentialing/privileging program for high-volume of applicants, to include primary source verification, competency analysis, database management, - Serves as the primary resource at multiple sites for providers' required education and on-boarding. - Serves as the primary resource to contracted surgery centers for credentialing software training and data-base integrity. - Serves as a physician advocate and Medical Staff representative in multiple sites' specific activities, to include Safety Huddles. - Communicates with physician applicants and appointees, Medical Staff leaders, Executive Staff, Legal and Regulatory Staffs, and numerous external entities regarding demographic and competency information about practitioners. - Interprets and implements standards, policies and procedures to ensure compliance with regulatory and risk management requirements. - Utilize critical thinking skills to analyze and resolve complex issues and serve as a resource for other coordinators for training and problem-solving. Job Requirements In addition to bringing humankindness to the workplace each day, qualified candidates will need the following: - Strong knowledge of clinical/medical terminology. - Proven abilities in arbitrating and negotiating issues between physicians and Medical Staff leaders/hospital departments. - Effective organizational skills required to handle voluminous influx of credentialing applications and to prioritize tasks in order to meet cyclical deadlines. Successful experience with previous accreditation surveys preferred. - Demonstrated working knowledge of The Joint Commission, CMS, and Department of Health standards. - Demonstrated computer and database management skills, with previous experience utilizing credentialing software. - Adeptness at developing multiple productive relationships and balancing requests/needs of multiple facilities. - Proven leadership skills: ability to develop and sustain trusting work relationships, ability to educate and motivate team members, ability to communicate effectively with various levels of professionals, ability to self-regulate and meet deadlines, ability to use critical thinking and strategic approaches in problem solving, etc. - Validated ability to deal with multiple tasks and interruptions, and meeting deadlines, with minimal supervision. - Three years credentialing/medical staff /payor enrollment related experience or degree in Medical Staff Services Management in lieu of experience. - Associate degree preferred. - CPMSM or CPCS certification, preferred. - High School Diploma/G.E.D. Required Physical Requirements - Sedentary work - prolonged periods of sitting and exert up to 10 lbs. force occasionally