HIM Outpatient Coder
2 weeks ago
Salary Range: $24.00 to $28.00 Hourly
Summary:
Responsible and accountable for performing chart reviews, physician education, and maintaining comprehensive knowledge of coding rules and regulations. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Arroyo Vista Family Health Center initiatives.
DUTIES AND RESPONSIBILITIES:
- Develops an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly
- Performs on-going chart reviews and abstracts diagnosis codes, clarifying documentation with provider for coding accuracy as needed.
- Documents results/findings from chart reviews and provides feedback to management, providers, and office staff
- Provides training and education to network of providers on how to improve their HEDIS coding knowledge as well as provide coding updates related to HEDIS
- Builds positive relationships with providers by providing coding assistance when necessary.
- Performs administrative duties such as planning, scheduling of chart reviews, obtaining and submitting medical records, and provider training and education.
- Assists in coordinating management activities with other departments including but not limited to Finance, Billing, Clinical, Referrals, and Quality Improvement.
- Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies
- Contributes to team effort by accomplishing related results as needed
- Other duties as assigned
REQUIREMENTS:
- Associates degree or equivalent combination of education and experience required.
- Bachelor’s Degree in Business Administration, Health Care Management or related field preferred
- 2 years' experience in an Outpatient healthcare setting
- 2 years' experience in coding and medical record chart review
- Coding Certification
- Active CCS, CCS-P, or CPC credential
- Familiar with HEDIS (Healthcare Effectiveness Data and Information Set) coding and measures
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