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Kalispell Regional Healthcare Professional Coder - Certified in Kalispell, Montana

Overview

Assigns appropriate ICD 10 CM and CPT 4 to inpatient and outpatient records. Abstracts designated criteria for tracking, reporting and reimbursement purposes. Responsible for keying, billing and collections in assigned client databases.

Responsibilities

  1. *Assigns and sequences ICD 10 CM and CPT 4 codes for all specialty patient types and billing and reimbursement. These include, but may not be limited to; inpatient, outpatient, ambulatory, and emergency room records.

  2. *Accurately codes advanced procedure accounts consisting of numerous components.

  3. *Reviews and analyzes medical records for document deficiencies. Accurately reflects the diagnosis and procedures per department procedure within the medical records.

  4. *Reviews charges, ensures accuracy, and checks for medical necessity for ordered tests and/or procedures. Proactively communicates with providers, staff, leadership and hospital departments to ensure adequate documentation to support services. Timely follows-up on accounts on hold. Performs Charge capture and data entry per department protocol and procedure.

  5. *Accurately abstracts clinical data after documentation assessment and review. Ensures accurate abstracting of clinical data and meets regulatory and compliance requirements.

  6. *Accurately follows coding guidelines and legal requirements to ensure compliance with Federal and State regulatory bodies.

  7. *Verifies accuracy of patient account, type, and demographic data. Coordinates corrections with Patient Access and ensures accurate billing, reimbursement, and reporting.

  8. *Meets productivity standards set forth by Revenue Integrity Coding Department.

  9. *Exhibits initiative and supports continuous quality improvement efforts.

  10. *Successfully participates in continuing education activities to enhance knowledge and skills related to the position.

  11. Other duties as assigned. This position description in no way states or implies that these are all the only duties required. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position.

*Maintains regular and consistent attendance as scheduled by department leadership.

*Job duties denoted with an asterisk are classified as Essential Job Functions.

Qualifications

  1. Knowledge and understanding of ICD 10 CM and CPT 4 coding guidelines and practices required.

  2. Minimum of two (2) years’ coding experience in an acute care or medical office setting preferred.

  3. Nationally recognized coding certificate CCS, CPC or AAPC certification required. Other specialty certifications may be considered.

  4. Minimum of two (2) years’ work related experience with computer data entry and retrieval skills within an electronic medical record system required. Must possess ability to learn other software as needed.

  5. Thorough knowledge of classification and nomenclature anatomy, medical terminology, and health information management procedures and practices required.

  6. Must possess excellent organizational skills, be detail-oriented, a self-starter, possess critical thinking skills and ability to set priorities and function as part of a team as well as independently.

  7. Must possess professional communication skills, and work effectively with a diverse customer and coworker population.

Job Locations US-MT-Kalispell

Requisition ID 2021-10890

Category Administrative / Clerical

Pay Period Status 80

Shift Variable

Shift Start Hours 8:00 AM

Shift End Hours 5:00 PM

Schedule Flexible

Position Type Full Time (Benefits Eligible)

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