Coder

2 weeks ago

Rapid City, United States Rapid City Medical Center Full time
Job DescriptionJob DescriptionSalary:

Rapid City Medical Center is seeking a Coder. Our coding team focuses on compliance and efficiency. Coders are responsible for coding clinical and/or surgical professional charges. This position has the opportunity to grow into a Medicare Specialist on the coding team.


Who We Are:
Rapid City Medical Center is a physician clinic providing excellence, choice, and patient-inspired care. We focus on building relationships with our patients, regularly connecting as partners on the journey of health. Our physicians use leading-edge technology to augment their medical skills. Ninety physicians and advanced practice providers work together with over 400 employees to make physician and test appointments efficient and effective and insurance interactions workable.

We thrive on working with smart, caring people. What we do is sometimes hard - but we do it because we serve our families, friends, and neighbors in something meaningful. Work-life balance and career satisfaction are important to us. We offer unmatched benefits, competitive wages, and the opportunity to feel great about your job.

We offer an outstanding benefits package that includes health, dental, 401k, profit sharing, life insurance, short-term disability, and long-term disability, seven paid holidays and floating birthday, paid time off (PTO) accrual, as well as flexibility in the schedule to accommodate important personal and family milestones. Typical schedule is Monday – Friday, 8 am to 5 pm, no holidays or weekends.


 

ESSENTIAL FUNCTIONS: 

  • Performs a detailed review of all assigned charges, ensuring proper coding methods are used. This includes CPT guidelines, ICD-10-CM coding, modifier usage, and payer rules including LCDs, NCDs, and all Federal rules, regulations, and guidelines.
  • Works with medical staff, compliance auditor or other compliance committee members to resolve coding issues and associated problems.
  • Responsible for provider communication regarding coding principles/changes and payer-specific requirements.
  • Reviews non-covered claims to ensure proper coding of all charges. Works with other teams to give support for proper verbiage and/or material used in describing coding rules and services rendered.
  • Performs other duties as assigned.


EDUCATION:  High school degree or equivalent. Certification with credentials from nationally recognized organization.


EXPERIENCE:  Preferred minimum of two years of experience with coding practices.

 

KNOWLEDGE, SKILLS, AND ABILITIES

  • Ability to multi-task and work under pressure in a deadline driven environment with changing priorities.
  • Ability to communicate clearly in person and on the phone and establish/maintain cooperative relationship with patients, families, physicians, staff and other customers.
  • Strong organizational and problem-solving skills
  • Knowledge of medical terminology and medical billing.
  • Knowledge of health insurance processing and the ability to read and interpret an explanation of benefits (EOB).
  • Strong customer service skills.
  • Basic knowledge of Microsoft Word and Excel.

 

PHYSICIAL AND ENVIRONMENTAL WORKING CONDITIONS

  • Job requires largely sedentary role requiring one’s ability to sit for extended period of time.
  • Ability to occasionally lift and/or move up to 10 pounds.
  • Must be able to talk, listen and speak clearly on telephone


This job description is intended to describe the essential job functions of this position and is not intended to be an all-inclusive statement of job responsibilities.


All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status.

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