Certified Medical Coder
2 months ago
Bienvivir All-Inclusive Senior Health (“Bienvivir”) is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly (“PACE”).
PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible.
BENEFITS for Full and Part-time employees who work 30 or more hours per week:
We pay 100% of the MEDICAL monthly premiums for Employee Only coverage.
We pay 100% of the DENTAL monthly premiums for Employee Only coverage.
We provide an affordable VISION monthly premium for Employee + Family coverage.
We pay 100% of BASIC LIFE for a benefit amount of $10,000.
We offer safe harbor matching contributions for the 403(B) RETIREMENT SAVINGS account.
We offer up to fifteen (15) days of PAID TIME OFF based on paid hours per pay period.
We offer eleven (11) company-observed PAID HOLIDAYS.
We offer education and TUITION REIMBURSEMENT.
We offer MILEAGE REIMBURSEMENT.
Bienvivir is currently accepting applications for the following position:
Certified Medical Coder
The Certified Coder, under the supervision of the Utilization Manager, is responsible for coding the internal Physician superbill. Coder is responsible to complete the audits and corrections prior to sending superbills for Centers for Medicare & Medicaid Services (CMS) data entry. The coder will utilize the medical charts and assistance from the Bienvivir Senior Health Services (BSHS) internal physicians for superbill and audit completion. The coder may be assigned to communicate with the CMS contact for the required information as needed and for the resolution of audit findings. The coder is also responsible for auditing the completion of all relevant reports retrieved from the CMS system related to the entered data. Provides training to medical professionals and appropriate staff on the use of diagnostic codes, documentation and report interpretation.
The Certified Coder is also responsible for a variety of clerical functions and other reasonable duties as assigned.
RESPONSIBILITIES:
- CMS program and reports:
- Will follow the BSHS CMS system manual and clinic departmental policies and procedures.
- Responsible to be knowledgeable of all aspects of the coding division.
- Responsible to code the superbill by utilizing the BSHS physician's documentation from the medical charts.
- Responsible to audit the medical chart documentation for the internal superbill prior to submitting for CMS data entry.
- Responsible to follow-up and audit all the relevant reports from the CMS system on the data submitted from the internal superbill.
- File system and data documentation
- Responsible to keep the implemented file system for the collected information and the entered data.
- Responsible to review all reports retrieved from the initial claim submissions, rejected claims, the re-submitted claims, and all other relevant reports.
- Responsible to update and maintain the CMS training manual and the CMS information binder.
- Meetings:
- Responsible for attending committee meetings relevant to the coder position.
- Responsible for attending the department's staff meetings or obtaining the information from the supervisor.
- Contact personnel:
- Responsible to communicate with the internal physicians on issues concerning superbill and medical chart documentation.
- Training:
- Responsible to provide training to the internal medical professionals and any appropriate staff on the use of diagnostic codes, documentation and CMS coding reports.
- Duties as assigned
- Responsible to travel and work at all centers.
- Responsible for a variety of clerical functions and other reasonable duties as assigned.
QUALIFICATIONS / REQUIREMENTS:
EDUCATION I EXPERIENCE
1. Coding Certification through an accredited institution.
2. 1 Year Coding experience preferred.
KNOWLEDGE, SKILLS, AND ABILITIES:
1. Accurate Typing
2. Medical terminology knowledgeable
3. Computer knowledgeable
4. Good telephone skills
5. ICD-9, ICD-10, CPT and HCPCS knowledgeable
6. Able to follow directions and department procedures.
7. Maintain an effective working relationship with staff at all levels.
8. Ability to communicate well with the programs' technical support via phone calls and e-mail.
9. Able to work independently.
Our staff are compassionate and observant professionals who strive to improve the quality of life for each of our participants. Apply online at www.bienvivir.org/employmentCompany DescriptionOur mission is to provide the frail senior the Program of All-Inclusive Care for the Elderly (PACE), a patient-centered, comprehensive healthcare delivery system in a community setting that advocates and promotes quality of life, optimum independence, dignity and choices in a nurturing environment.\r
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Our staff are compassionate and observant professionals who strive to improve the quality of life for each of our participants. Apply online at www.bienvivir.org/employment
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