Medical Coding Specialist
Company: Pueblo Community Health Center
Location: Pueblo
Posted on: January 23, 2023
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Job Description:
Medical Coding Specialist: Starting Pay Range: $20.10 - $22.46
an hourPueblo Community Health Center offers a flexible benefits
program to full-time and part-time employees working 20 hours or
more per week.Benefit opportunities presently available to
employees are listed below:Medical InsuranceDental InsuranceVision
InsuranceLong-Term Disability InsuranceShort-Term Disability
InsuranceLife Insurance403(b) Tax-Sheltered Annuity PlanCafeteria
125 Flexible Spending AccountIn addition to the benefits available
for purchase through the Cafeteria 125 plan, Pueblo Community
Health Center offers supplemental insurances and generous paid time
off benefits including holidays and personal time off (PTO). The
organization also contributes to the employee's tax-sheltered
annuity plan after one year of service.All Pueblo Community Health
Center employees must be fully vaccinated against COVID-19, subject
to the requirements of the American with Disabilities Act (42
U.S.C. 12101 et seq ), Title VII of the Civil Rights Act (42 U.S.C.
2000e et seq.), the Colorado Anti-Discrimination Act (C.R.S.
24-34-401 et seq.), and any other relevant federal or State law. As
such all persons offered a position will be required to provide
valid proof of vaccination prior to starting employment.Job
Summary:Provides documentation review, coding, and data abstracting
of medical/behavioral health service documentation to ensure that
Pueblo Community Health Center receives appropriate reimbursement
and conforms to applicable guidelines and regulations. Accurate and
timely coding, abstracting of clinical information which is used
for reimbursement purposes, quality improvement efforts and
reporting for internal and external purposes. Serves as a technical
coding expert. The role is responsible for ICD-10, CPT and HCPC
coding of all clinical and hospital service in a timely filing
manner with a 95% accuracy rate. The right person for this job will
be extremely detail oriented and accurate. You must have the
ability to work independently and communicate effectively with your
team.Reports to:Medical Coding SupervisorSupervision
Exercised:NoneEducation/Experience/License/Certification:High
School Degree or equivalentAAPC or AHIMA certification preferredOne
year experience with outpatient or inpatient coding using ICD-10,
CPT-4, and HCPCS for Medicare, Medicaid and third-party billing
required, two years preferred.Working knowledge of electronic
medical record systems preferred.Required Travel:Infrequent travel
may include limited local travel.Knowledge/Skills/Abilities:The
requirements listed below are representative of the knowledge,
skill, and/or ability required. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.1. A working knowledge of OBGYN, podiatry,
inpatient, family practice and behavioral health2. A working
knowledge of Local Coverage Determinations, National Coverage
Determinations and NCCI guidelines for coding accuracy helpful.3.
Demonstrated ability to understand the clinical content of a health
record.4. Must be able to work with a variety of healthcare
professionals at all levels.Essential Duties and
Responsibilities:To perform this job successfully, an individual
must be able to perform each essential duty satisfactorily.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.1. Ensure the
function and activities of this department to embrace the
philosophy, mission, values, and Communicate with Heart service
model supported by the Board of Directors of Pueblo Community
Health Center, Inc.2. Adhere to the guidelines and procedures of
Pueblo Community Health Center, Inc.3. Investigates, reviews, and
provides clinical and/or coding expertise in the application of
medical, behavioral health and reimbursement policies.4.
Communicates with clinical staff to resolve coding issues in a
timely manner.5. Communicates with clinical staff to resolve
encounters with no coding attached to ensure timely filing of
claims.6. Corrects and resubmits claims based on review of the
medical record.7. Provides support to clinical staff by answering
coding questions and assisting providers in the selection of codes
for complex cases and issues.8. Works with Patient Accounts staff
to resolve coding related denials9. Research problems and answers
questions pertaining to coding.10. Maintains current knowledge of
coding conventions, guidelines, updates, and regulations governing
government and third-party billing11. Communicates with the Medical
Coding Supervisor to provide feedback regarding documentation
issues or reoccurring errors.12. Must meet and maintain
departmental quality and production standards13. Must maintain all
certifications required by this position14. Participates as needed
in testing and training of new or existing systems15. Perform other
related duties as assignedThe above duties are not all inclusive
and are not intended to limit or define the duties that may be
assigned.Company's website:
Closing Date: Open until filledPueblo Community Health Center is a
tobacco-free workplace. EOELocation: Pueblo Community Health Center
Financial ServicesSchedule: Full Time, mon-fri 40
Keywords: Pueblo Community Health Center, Pueblo , Medical Coding Specialist, Other , Pueblo, Colorado
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