Medical Coder I

ROCKY MOUNTAIN HEALTH CARE SERVICESColorado Springs, CO
3d$21 - $24Onsite

About The Position

The Medical Coder position is responsible for analyzing and interpreting medical records to ascertain medical coding, providing complete and timely diagnosis information to regulatory agencies, and reviewing data to maximize revenue within regulatory guidelines. The ideal candidate for this position will be detail oriented, have a collaborative spirit and excellent communication skills.

Requirements

  • H.S. Diploma or equivalent required
  • Minimum 1-year experience with medical coding and familiarity with medical terminology is required.
  • Medicare and Medicaid coding experience with a working knowledge of compliance, federal and state rules and regulations required
  • Minimum 1 year experience with electronic health records systems required
  • CPC- Certified Professional Coder or CCS-P through AHIMA required within 6 months of hire

Nice To Haves

  • Associates degree in a related field preferred
  • Risk Management coding experience preferred

Responsibilities

  • Reviews participant medical records to ensure complete and accurate information
  • Reviews medical staff documentation to ensure consistency and completeness
  • Extracts principal diagnosis and procedures information utilizing current Medicare coding guidelines and other supporting references
  • Enters codes into reporting database.
  • Codes ancillary outpatient and inpatient hospital encounters using ICD-10 CM.
  • Maintains the highest percentage of accuracy as possible and monitors personal audit results from independent coding auditor
  • Reviews coding reports to ensure ongoing diagnoses are appropriately documented and follows up with medical providers regarding dropped Hierarchical Condition Categories (HCC) and documentation requirements
  • Analyzes reports for errors/irregularities and identifies root causes of error in order to prevent future coding errors
  • Analyzes reports to monitor both favorable and unfavorable trends over time and brings the data analysis to supervisors attention for discussion and remediation
  • Obtains and prepares data for periodic/special reports, as requested
  • Maintains a positive and productive working relationship with coding consultant(s) in order to gain organization-specific guidance and coding knowledge
  • Stays current in changing Medicare regulatory environment and requirements
  • Assists Accounting staff with month-end activities, as requested
  • Participates in projects related to year-end and other audits as needed
  • Actively participates in Health Information Management team meetings and special projects to ensure the team successfully meets its strategic goals

Benefits

  • Medical and Prescription Drug
  • Dental
  • Vision Care
  • Wellness Program
  • Telemedicine Program
  • Flexible Spending Accounts
  • Health Savings Account
  • Company Paid Basic Life and Accidental Death & Dismemberment
  • Company Paid Long-Term Disability
  • Voluntary Life Insurance
  • Voluntary Short-Term Disability
  • Accidental Injury Insurance
  • Critical Illness
  • Hospital Indemnity
  • 403(b) Savings Plan
  • Legal Shield and IDShield
  • Employee Assistance Program (EAP)
  • Paid Time-Off plan
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