Medical Coder (75-12F)

Hours: Full-time, M-F, 8:30-5:30
Location: Keizer/Inland Shores
Department: Coding

Job Summary/Position Objective: To accurately assign a CPT code(s), HCPCS code(s), CPT-4 modifier(s) and all applicable ICD-10-CM codes to all assigned patient encounters and procedures in a timely manner. To carefully review all tasks in assigned billing queue and return appropriate coding to HPS in a timely manner. To provide feedback on documentation opportunities to Director of EHI and nursing administration as appropriate. To support quality efforts via coding for HCC/RAF, adding CPT-II code(s) and working to close HCC gaps on payer portals.

Required Knowledge, Skills, Abilities:

1. Completion of high school or equivalent.

2. Completion of course in health information management (claims analyst/medical biller/medical coding).

3. Must have working knowledge of CPT, CPT-II, CPT-4, HCPCS and ICD-10-CM codes

4. Organizational skills.

5. Ability to communicate clearly, professionally and courteously; effective listening, writing, spelling, and reading skills. Communication skills must support face-to-face, telephone and written communication methods.

6. Ability to follow oral and written instruction.

7. Must have knowledge of medical terminology.

8. Must have knowledge of human anatomy and physiology.

9. Basic computer skills; familiarity with keyboard, 10-key, mouse, word processing and basic Microsoft operating system functionality.

10. Ability to work quickly and accurately.

11. Ability to interact with coworkers and providers tactfully, to be a team player.

Preferred Qualifications:

1. Completed educational program for medical coding.

2. One year experience coding in an ambulatory setting.

3. Current coding certification; CCA, CCS-P or CPC.

4. Knowledge of office procedures, pathology and medications.

5. Knowledge of coding software.

Essential Functions:

1. Assign ICD-10-CM, CPT, CPT-II, CPT-4 and HCPCS codes to patient encounters and procedures.

2. Keep up-to-date on changes in coding guidelines and requirements.

3. Receive denials from Health Plan Services, review documentation and supply new appropriate code or thorough explanation as to why the code cannot be changed.

4. Recognize documentation requirements and assist director with feedback to providers.

5. Meet deadlines set by the Clinic (e.g. close of month).

6. Maintain patient confidentiality.

7. Ability to use Epic, EncoderPro.com, Outlook, Microsoft Excel, and Microsoft Word computer systems. Ability to navigate internet sites to research coding guidelines.

8. Demonstrate telephone skills and good customer service techniques.

9. Flexible response to changing needs and duties within department.

Other Duties:

1. Other duties as assigned by Team Leader or Director.

Job Requirements:

Working Conditions:

1. Able to sit for long periods of time.

2. Able to read computer screen for long periods of time.

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