Outpatient Coder

Sacred Circle • Salt Lake City, UT

1d • Onsite

About The Position

As a health division of the Confederated Tribes of the Goshute Reservation, Sacred Circle Healthcare preserves the Goshute heritage of protecting and caring for family and extends the tradition to all marginalized and underserved populations in their area. They refuse to let access, ethnicity, or socioeconomic status restrict someone from receiving complete healthcare. Sacred Circle Healthcare is seeking a full-time Outpatient Coder for their Clinic in Salt Lake City, Utah. This position is responsible for abstracting, coding, and interpreting outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for providing care to patients.

Requirements

• High School Diploma or GED required.
• American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) recognized certification such as: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS- P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Or other specialty certification indicated by the department.
• Three (3) years of coding experience required.
• Minimum of two years billing experience required.
• Knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations, and health insurance processing.
• Knowledge of CMS, AMA, and AHA coding and billing guidelines.
• Demonstrated proficiency in computer software. (e.g., Microsoft Word and Excel).
• Demonstrated leadership, human relations, and effective communication skills.
• Ability to perform the essential functions as outlined above.
• Ability to maintain certifications through continuing education credits.
• Ability to effectively train others.

Nice To Haves

• Experience working with the Native American community.
• Experience working in a healthcare setting.

Responsibilities

• Performs initial charge review to determine appropriate ICD-9/ICD-10 and CPT codes to be used to report physician services to third party payers.
• Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-9/ICD-10 coding to these services.
• Reviews patient logs and other reports of clinical activity to ensure billing is captured for all patients.
• Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
• Ensures the batch processes for all coded charges.
• Utilizes batch-logging systems to comply with internal audit standards.
• Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
• Performs duties and job functions in accordance with the policies and procedures established for the department.
• Reports to work, meetings, and professional obligations on time.
• Participates in administrative staff meetings and attends other meetings and seminars as required.
• Assists in evaluation of reports, decisions, and results of departments in relation to established goals.
• Recommends new approaches, policies, and procedures to influence continuous improvements in departments efficiency and services performed.
• Performs other related duties as required and assigned.
• Adheres to Corporate, Departments, and HR Policies and Procedures.
• Reads, understands, and adheres to all Sacred Circle Health Care Policies and Procedures.
• Practices and adheres to the Code of Conduct and Mission and Values Statements.
• Other Duties as Assigned

Benefits

• Healthcare coverage for you and your family
• Generous PTO, paid holidays and floating holidays to celebrate what is important to you (prorated for part-time employees)
• Retirement matching to invest in your future

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED