Coder II

PHC Primary Health Care•Des Moines, IA

30d•$23 - $34

About The Position

Are you looking for an opportunity to do amazing work helping others? You've come to the right place. Let's make a difference! Primary Health Care (PHC) was founded in 1981 by Dr. Bery Engebretsen in Des Moines, IA. Our mission has remained unchanged since that time, to provide healthcare and supportive services to all, regardless of insurance, immigration status, or ability to pay. Based on the needs of the communities we serve, PHC offers a spectrum of medical and dental services including family practice, behavioral health, HIV care and services, and pharmacy. PHC's Homeless Support Services is the entry point for serving people experiencing homelessness in Polk County. Enabling services are available to help patients with benefits enrollment, case management, transportation, translation, and patient education. We currently have locations in Ames, Des Moines, & Marshalltown. As a Coder II you will be responsible for reviewing and analyzing medical records for outpatient and inpatient hospital settings. Charge tickets to determine appropriate assignment of codes to reflect patient diagnoses and procedures. Analyzes claim denials; taking appropriate steps to correct the claim and to initiate changes in process. In coordination with the Medical Director, provides feedback to medical and ancillary staff regarding appropriate documentation and code assignment. Ensures compliance with all legal and procedural requirements. Demonstrates iCare values in daily work.

Requirements

High School Diploma or equivalent combination of education and experience.
Minimum 3 years related experience
Experience and working knowledge of ICD-10-CM
Effectively use the ICD 10-CM, CPT and HCPCS reference books.
Proficiency in operating a computer and ability to learn and use computer applications.
Knowledge of third-party payers and associate regulations.
Effective verbal and written communication skills.
Outstanding mathematical skills
Problem solving and analysis skills
Organizational skills
Detail oriented with high degree of accuracy
Teamwork and collaboration skills.
Strong analytical and critical thinking skills.
Licenses & Certifications: Professional certification by the American Health Information Management Association. (AHIMA) or American Academy of Professional Coders (AAPC).

Nice To Haves

Associate's degree in health information management.
Experience with ICD-10-CM and HCPCS/CPT coding for reimbursement.
Experience in the essential functions of the position.
Community Health Center Experience.

Responsibilities

Reviews and analyzes medical records for outpatient and inpatient hospital settings and charge tickets to assign and sequence ICD-10-CM, CPT and HCPCS codes for services rendered. Monitors status of patient encounters for appropriate code assignment and works to expedite final billing. Complies with all legal requirements regarding coding procedures and practices. Maintains the timeliness of coding tickets as established by the Chief Financial Officer.
Communicates with and educates medical and ancillary staff, as necessary, concerning diagnoses and procedures noted in the medical record. Serves as a reference source to Coder I, medical and ancillary staff with regard to assigned coding systems.
Review visit and procedure notes to assign the correct CPT, HCPCS, and ICD-10-CM codes for inpatient/outpatient visits, OB deliveries, and minor procedures. Query the physician for clarification on appropriate code selection, abstract information from the medical record to code to the highest level of ICD-10-CM specificity.
Collaborates with billing to ensure all bills are satisfied in a timely manner. Assist the billing team with certain CPT, HCPCS and ICD 10 CM related denials.
Identifies opportunities to improve the claim process. Works with Coding Manager and Clinic Administrators to implement process improvements.
Perform other duties as assigned.

Benefits

Generous PTO accrual (equal to 4 weeks at end of 1st year) plus paid holidays
License/certification fee reimbursement
Paid time off for continuing education & continuing education reimbursement
Tuition reimbursement program
401k with company match
Medical insurance - PHC Pays, on average, 80% of medical premiums for all plan types (employee, employee + family, etc.)
Dental insurance
Vision insurance
Life & disability insurance
Flexible spending & health savings accounts
Supplemental accident & critical illness insurance
Discounts on pet insurance