Certified Clinic Coder Nhp

Employment Type:
Full timeShift:
Day Shift
Description:
Position Purpose
Responsible for reviewing documentation, assigning accurate CPT and diagnosis codes, and entering codes into EHR or Cerner coding abstract. Sources of documentation may include office services, nursing home visits, inpatient, ER, outpatient hospital visits, and lab requisitions. Responsible for communicating with providers if their documentation does not support the billing code they selected.
What You Will Do

• Interprets provider service documentation and verifies the selected CPT-4 codes and diagnosis codes for the encounter. Communicates with service provider if there is a discrepancy between the documentation and the code selection.
• Assures codes reported to the claim are supported in the medical record documentation for the services selected for "audit" or "review."
• Maintains current knowledge regarding CPT-4 and diagnosis coding and is responsible for understanding changes that occur.
• Interacts regularly with providers, clinical staff, patient registration and laboratory staff regarding specific documentation relating to coding requirements, questions, and concerns.
• Maintains current knowledge of third-party payer's guidelines in order to effectively and accurately capture revenue.
• Maintains coding knowledge and seeks opportunities to develop professionally. Attends department meetings and huddles.
• Works in collaboration with HIM Hospital coders and hospital PFS as needed.
• Works collaboratively with billers to analyze and resolve claim rejections and denials related to coding. Responds to inquiries courteously and timely. Demonstrates a customer-focused mentality and orientation.

Minimum Qualifications

• High school diploma or equivalent.
• Post high school education is preferred.
• College coursework in medical terminology is required.
• College coursework in Anatomy and Physiology and coding is highly desired.
• Current coding certification required within 6 months after hire. Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC). Will consider other credentials.
• Minimum of two years coding or other applicable experience preferred.
• Self-motivation and ability to set work priorities to meet productivity standard.
• Critical thinking and analytical skills
• People-oriented with the ability to foster a work environment of open communication, trust, support, and active employee participation. Independent decision-making skills required.
• Excellent written and verbal communication skills.
• Demonstrates judgment, tact, and professionalism in dealing with other healthcare professionals, physicians, and the public.
• Ability to problem solve using practical problem-solving methodology.
• Must be comfortable operating in a collaborative, shared leadership environment.
• Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission and vision, goals, and values of Trinity Health.

Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.