Presbyterian exists to improve the health of the patients, members and communities we serve. Since 1908.
Pro Fee Multispecialty Coder
Location
United States
Posted
26 days ago
Salary
$22 - $33 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Pro Fee Multispecialty Coder
Presbyterian Healthcare Services
Role Description Now Hiring: Remote PRN Pro Fee Multispecialty Coder Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures. - 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 - 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. - Abstracts data essential to the QI department in determining patient care issues as well as providing information to The Joint Commission. - 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 ensure all encounters are coded, including the generation of appropriate queries, as needed. - Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts. - Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area. - Participates in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment. - Communicates issues to the EW Clinical Coding Manager & Supervisor, as appropriate. - Must demonstrate knowledge of coding multiple areas of service and/or specialties. - Maintains at least a 95% accuracy rate. - Maintains average to high productivity based on PHS Productivity Standards. - Maintains continuing education (CE) requirements per PHS policy. Qualifications - High school diploma/GED required. - Must have any one of the following coding certifications at time of hire: HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire. - One-three years experience as a coder required. - Must possess computer skills including, but not limited to, Word, Excel, PowerPoint. - Experience with an encoder preferred. - Experience with an Electronic Medical Record preferred. - Must be able to use the internet and other electronic resources for the purpose of research. Benefits - Comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. - Employee Wellness rewards program designed to provide engaging opportunities to enhance health and activate well-being. Company Description Presbyterian exists to improve the health of patients, members, and the communities we serve. We are a 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.
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