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Risk and Quality Coder

1 month ago

Phoenix, United States Integrated Medical Services, Inc. Full time

Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Audit alpha, numeric or symbolic data from the EMR for patient billing purposes using knowledge of CPT and ICD-10 codes.
- Research and query coding and documentation discrepancies.
- Compiles, sorts and prioritizes audits based on dates of service.
- Remains current on the specific data requirements dictated by various government and private insurance carriers.
- Ensures strict confidentiality of patient records.
- Develops productive working relationships, with co-workers by exhibiting honesty, tact, respect and flexibility in order to meet the department and organization objectives.
- Participates in, in service training activities and staff meetings and is available to participate in additional educational/training sessions to expand skills.
- Uses coding knowledge to assist peers in daily tasks and activities.

**NONESSENTIAL FUNCTIONS**
- Perform other duties as assigned.
- Hours may vary and be outside of normal office hours depending on business needs.

**MINIMUM JOB REQUIREMENTS**
- Exceptional oral and written communication skills.
- Excellent organizational skills.
- Demonstrated ability to interact effectively with peers and subordinates of all levels.
- Computer skills in the Microsoft environment: Outlook, Word, Excel.
- Recognizes possible solutions to problems and is able to explain issues and propose solutions.
- Maintains customer confidence and protects operations by keeping information confidential.
- Contributes to team effort by accomplishing related results as needed.
- The ability to work in a constant state of alertness and in a safe manner.

**Experience**: Required
- CPC and/or CRC Certification Required.
- 1 - 2 years: In a medical office/physicians coding and medical chart review/auditing of documentation

Preferred
- Processing medical claim information through data-entry in the Electronic Medical Record (EMR)
- Knowledge of CPT and ICD-10 codes.
- Knowledge of Athena EHR system preferred.

**Education**: Required
- High School or better

**Licenses & Certifications**: Preferred
- Cert Med Coder

**Behaviors**: Preferred
- Team Player: Works well as a member of a group
- Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
- Dedicated: Devoted to a task or purpose with loyalty or integrity

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