Presbyterian exists to improve the health of the patients, members and communities we serve. Since 1908.
PRN ProFee Multi-Specialty Coder
Location
New Mexico
Posted
2 days ago
Salary
$21 - $33 / hour
Seniority
Senior
Job Description
PRN ProFee Multi-Specialty Coder
Presbyterian Healthcare Services
• 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 insure 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. This includes but is not limited to all ICD-9/10 CM, CPT-4, HCPCS, DRG, APC and/or HHRG updates and changes. • 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
Job Requirements
- 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
- Medical
- Dental
- Vision
- Short-term and long-term disability
- Group term life insurance
- Other optional voluntary benefits
- Wellness Presbyterian's Employee Wellness rewards program
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