CTHCA Certified Professional Coder (CS-49653)

CONFEDERATED TRIBES OF THE COLVILLE RESERVATION•Coulee City, WA

19d•$25 - $31•Onsite

About The Position

The CTHCA Certified Professional Coder researches and analyzes data needed for reimbursement, analyzes medical records to identify documentation deficiencies, and reviews and verifies that documentation supports diagnoses, procedures, and treatment results. The coder serves as a resource and subject matter expert to other coding staff. As the second level in the Medical career ladder, this role works cooperatively and in full compliance with applicable claims reimbursement requirements, maintaining high ethical standards, strict confidentiality, and knowledge of laws and regulations related to coding.

Requirements

High school diploma or equivalent.
At least 12 months of 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; certification must be maintained throughout employment.
Ability to maintain working knowledge of current coding and billing requirements from Medicare, Medicaid, and other third-party payers.
Ability to perform the functions of the position and apply and review diagnostic and procedural coding using approved coding tools.
Ability to operate computers and software applications associated with office requirements and Revenue Cycle Management.
Ability to complete assigned work accurately and dependably with minimum supervision.
Effective verbal and written communication skills and problem-solving ability.
Ability to maintain accurate, retrievable records and audit trails and trace transactions to original entries.
Ability to organize and prioritize work to meet deadlines.
Ability to work cooperatively and professionally with customers, staff, tribal government personnel, outside agency personnel, and vendors.
Valid driver’s license and eligibility for the Tribes’ vehicle insurance, maintained throughout employment.
If the position is safety sensitive, pass pre-employment drug testing and comply with reasonable-suspicion and post-accident drug testing. The position may also be subject to pre-employment background clearances, which must be maintained if applicable.

Responsibilities

Research and analyze data needed for reimbursement.
Analyze medical records and identify documentation deficiencies.
Serve as a resource and subject matter expert to other coding staff.
Review and verify that documentation supports diagnoses, procedures, and treatment results.
Maintain working knowledge of current Medicare, Medicaid, and other third-party payer coding and billing requirements.
Apply and review diagnostic and procedural coding using approved coding tools, including current coding textbooks.
Operate computers and software applications associated with office requirements and Revenue Cycle Management.
Complete assigned workload accurately and dependably with minimum supervision.
Communicate effectively verbally and in writing; analyze and solve problems.
Maintain accurate, retrievable files, records, and audit trails, and trace transactions to original entries.
Organize and prioritize work to meet deadlines and timetables.
Work cooperatively and professionally with customers, staff, tribal government personnel, outside agency personnel, and vendors.
Maintain required professional coding certification throughout employment.
Maintain a valid driver’s license and eligibility for the Tribes’ vehicle insurance throughout employment.