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Outpatient Coder

4 months ago

Salt Lake City, United States Sacred Circle Full time
Job DescriptionJob Description

As an entity of the Confederated Tribes of the Goshute Reservation, we, at Sacred Circle Healthcare, preserve the Goshute heritage of protecting and caring for family and extend the tradition to all marginalized and underserved populations in our area. We refuse to let access, ethnicity, or socioeconomic status restrict someone from receiving complete healthcare.

Interested in joining our team? We are looking for people who are genuine, kind, ambitious, positive, and helpful - exceptional people building on a celebrated heritage who are passionate about delivering uncompromising care - people who make a difference every day no matter what their role or position. If you are looking for a job where the work you do impacts lives for the better every day, you are in the right place

Sacred Circle Healthcare is seeking a full-time OUTPATIENT CODER for our Clinic in Salt Lake City, Utah.

Job Summary

  • Overview: This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for providing care to patients.
  • Reports to: Billing Manager
  • Department: Billing
  • Patient Care: Yes
  • Worker Status: Full-time, Hourly
  • Benefits Eligible: Yes
  • Hours Per Week: 40
  • Work Schedule: To Be Determined with the availability of 8:00 am – 6:00 pm Monday through Friday.
  • Location: Salt Lake City
  • Supervisory responsibilities: None

The successful candidate:

  • Performs initial charge review to determine appropriate ICD-9/ICD-10 and CPT codes to be used to report physician services to third party payers.
  • Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-9/ICD-10 coding to these services.
  • Reviews patient logs and other reports of clinical activity to ensure billing is captured for all patients.
  • Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
  • Ensures the batch processes for all coded charges.
  • Utilizes batch-logging systems to comply with internal audit standards.
  • Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
  • Performs duties and job functions in accordance with the policies and procedures established for the department.
  • Reports to work, meetings, and professional obligations on time.
  • Participates in administrative staff meetings and attends other meetings and seminars as required.
  • Assists in evaluation of reports, decisions, and results of departments in relation to established goals.
  • Recommends new approaches, policies, and procedures to influence continuous improvements in departments efficiency and services performed.
  • Performs other related duties as required and assigned.
  • Adheres to Corporate, Departments, and HR Policies and Procedures.

Required Education, Experience, Knowledge, Skills, and Abilities

EDUCATION: High School Diploma or GED required.

  • American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) recognized certification such as:
    1. Certified Coding Associate (CCA)
    2. Certified Professional Coder (CPC)
    3. Certified Professional Coder-Hospital (CPC-H)
    4. Certified Professional Coder-Payer (CPC-P)
    5. Certified Coding Specialist (CCS)
    6. Certified Coding Specialist - Physician Based (CCS- P)
    7. Registered Health Information Administrator (RHIA)
    8. Registered Health Information Technician (RHIT)
    9. Or other specialty certification indicated by the department.

EXPERIENCE: Three years of coding, clinical or billing experience required.

KNOWLEDGE SKILLS AND ABILITIES:

  • Knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations, and health insurance processing.
  • Knowledge of CMS, AMA, and AHA coding and billing guidelines.
  • Demonstrated proficiency in computer software. (e.g., Microsoft Word and Excel).
  • Demonstrated leadership, human relations, and effective communication skills.
  • Ability to perform the essential functions as outlined above.
  • Ability to maintain certifications through continuing education credits.
  • Ability to effectively train others.

Additional Information – Join us as we are Redefining Compassionate Healthcare, together

As group of 4 healthcare clinics, diversity drives our identity. We are proud of our Native American heritage. Whether you are seeking your first job, transitioning back into the workforce, looking to start your career, or grow an existing one, Sacred Circle Healthcare walks with you. We need you for what you can do. We strive for a mix of benefits to help you combine great work with a great life.

  • Competitive pay
  • Healthcare coverage for you and your family
  • Generous PTO, paid holidays and floating holidays to celebrate what is important to you (prorated for part-time employees)
  • Retirement matching to invest in your future
  • Colleagues that are unparalleled
  • A culture that is second to none

Sacred Circle Healthcare/Confederated Tribes of the Goshute Reservation gives preference

to qualified American Indian/Alaskan Native Applicants