CTHCA Certified Professional Coder (CS-49653)
About The Position
Researches and analyzes data needed for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. The Certified Professional Coder is the second in the Medical career ladder. Certified Professional Coder will work cooperatively in full compliance with all relevant claims reimbursement requirements by maintaining high ethical standards, strict confidentiality, and a strong knowledge of all laws and regulations related to coding function.
Requirements
- High School Diploma or Equivalent
- 12 months billing and coding experience
- Certified Professional Coder (CPC) certificate from the American Academy of Professional Coders or Certified Coding Specialist (CCS) certificate from the American Health Information Management Association
- Maintain certification throughout employment
- Ability to perform the functions of the position
- Ability to effectively operate computer and software applications associated with office requirements as well as Revenue Cycle Management
- Ability to communicate effectively verbally as well as in writing
- Ability to analyze and effectively solve problems
- Valid Driver’s License and be eligible for the Tribes vehicle insurance and maintain throughout employment
- If required of this position, you must possess and maintain a valid Washington State driver’s license and be eligible for the Tribes’ Vehicle Insurance.
- If applicable, these clearances must be maintained throughout employment.
Nice To Haves
- Tribal Member and Indian Preference will apply; preference will also be given to honorably discharged veterans who are minimally qualified.
Responsibilities
- Researches and analyzes data needed for reimbursement.
- Analyzes medical records and identifies documentation deficiencies.
- Serves as resource and subject matter expert to other coding staff.
- Reviews and verifies documentation supports diagnoses, procedures and treatment results.
- Maintains high ethical standards, strict confidentiality, and a strong knowledge of all laws and regulations related to coding function.
- Maintains working knowledge of current changes in coding and billing requirements from Medicare, Medicaid, and other third-party payers.
- Applies and reviews diagnostic and procedural coding utilizing approved coding tools including but not limited to current coding text books.
- Completes assigned workload in an accurate and dependable manner with minimum supervision.
- Maintains accurate and retrievable files, records, audit trails and trace transactions to original entries.
- Organizes and prioritizes work to meet deadlines and timetables.
- Works cooperatively and professionally with customers, staff, tribal government and personnel and outside agency personnel and vendors.
Benefits
- Pre-employment drug testing (if safety sensitive)
- Reasonable suspicion drug testing (if safety sensitive)
- Post-accident drug testing (if safety sensitive)
- Pre-employment background clearances (if applicable)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
