About The Position

Entry level career position responsible for providing the accurate and timely coding services to describe the type of services provided to patients and clients of the Pueblo of Jemez Health and Human Service Department. Responsible for coding medical and dental care transactions/services for billing purposes; enters data into computer system. This job description indicates, in general, the nature and levels of work, knowledge, skills, and other essential functions expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be asked to perform other duties required.

Requirements

  • High School diploma or General Equivalency Diploma (GED); AND successful completion of a formal coder training program; AND two (2) year of medical coding experience.
  • New Mexico Driver's License Background Investigation.
  • One of the following Certifications (or obtained within one-year of employment): Certified Coding Associate Certificate (CCA), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P).

Responsibilities

  • Codes dental assessments by using dental codes; enters data into RPMS (Resource and Patient Management System) using International Classification of Disease-9th Revision (ICD-10).
  • Submits claims for reimbursement.
  • Codes medical assessments by using the ICD-10 for Public Health providers (RN, Health Advocates, CHRs, Health Ed Specialist, and School Nurse).
  • Provides varied medical coding and office administrative assistance.
  • Identifies and assigns modifiers for outpatient records for the purpose of reimbursement, research, and compliance with federal regulations.
  • Identifies and assigns preliminary evaluation and management (E/M) codes for the purpose of reimbursement, research and compliance with federal records.
  • Works both medical necessity (MN) edits and correct coding initiative (CCI) edits.
  • Provides customer services in the most cost effective and efficient manner.
  • Ensure adherence to Hospital and Departmental Policies and Procedures.
  • Contributes to the overall quality of the unit's service provision by developing and coordinating work teams and by reviewing, recommending and implementing improved policies and procedures.
  • Represents the Pueblo with dignity, integrity, and a spirit of cooperation in all relationships with staff and the public.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Support Activities for Agriculture and Forestry

Education Level

High school or GED

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