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Coder, Outpatient Revenue Cycle
2 months ago
PLEASE NOTE: This position will be remote in Phoenix. Candidates must reside in the Phoenix area to be considered
OVERVIEW:
This role will be responsible for identifying and resolving coding issues, being proactive and developing solutions for coding within the Revenue Cycle. Work with Mountain Park Health Centers Revenue Cycle internal and external customers and partners to identify, troubleshoot and implement solutions to enhance coding within the Revenue Cycle.
ESSENTIAL FUNCTIONS:
- Ensures that codes are assigned correctly and sequenced appropriately by adhering to government and insurance regulations.
- Identifies errors, discrepancies, or missing coding information within the claim's documentation, and corrects any issues.
- Assists the Revenue Cycle team with interpretation and selection of appropriate International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) codes and /or other information requested for accurate billing and reimbursement.
- Reviews and verifies documentation that supports diagnosis, procedures, and treatment results.
- Keeps staff informed of new or updated coding standards, systems, procedures, forms and manuals through staff meetings and verbal and written communications.
- Suggests alternative methods and coding procedures in solving problems.
- Assists with developing solutions to identify, troubleshoot, and implements protocols to enhance coding review and code modifications.
- Collaborates with cross functional teams focusing on continual improvement and maximization of systems as they relate to the billing and coding processes.
- Maintains regular and predictable attendance.
- Performs other duties as required.
POSITION QUALIFICATIONS:
Minimum Qualifications
- Bachelor’s degree and two (2) years of coding revenue cycle experience or high school diploma or general education degree (GED) and five (5) years of coding revenue cycle experience
- Certified Professional Coder (CPC) with experience in evaluation and management (E/M) Coding
Preferred Qualifications
- Federally Qualified Health Care (FQHC) experience
