Patient Accounts Coder II (Internal Applicants Only)

Peak Vista Community Health Centers•Colorado Springs, CO

22h•Onsite

About The Position

Peak Vista Community Health Centers is a nonprofit health care organization dedicated to providing exceptional healthcare to individuals facing access barriers through its clinical programs and education. The organization offers integrated health services, including medical, dental, and behavioral health, across 20 outpatient centers. With a strong emphasis on a "Hospitality" culture, Peak Vista employs over 800 individuals and serves more than 74,300 patients annually in the Pikes Peak and East Central regions of Colorado. The service area spans 14 counties, from the front range to the Kansas border, with locations in Colorado Springs, Fountain, Divide, Limon, and Strasburg. Peak Vista holds accreditation from the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).

Requirements

High school diploma or equivalent education.
Coding certification from an approved body.
1-year coding or relevant healthcare experience required.
CPC, CPC-P, CCS-P, RHIA or RHIT certification required.
Intermediate computer skills: ability to access the intra/internet to manage timecard, review policies and procedures, and read company communications; use e-mail to communicate with co-workers, leadership, and other departments; use and create a variety of templates, complex tables, merges; manage table data, sort and filter merges, and also perform basic work with existing Macros; customize toolbars, import and insert graphs, embed Excel data, and elaborate reports; work with multiple worksheets, filter data, use integrate functions, and manipulate databases; customize templates and the PowerPoint environment, and to make a presentation interactive by using hyperlinks and action buttons.
Must be able to perform each essential duty satisfactorily.
Must be able to perform the essential functions.

Nice To Haves

Spanish bilingual preferred.
6 months Peak Vista experience.

Responsibilities

Understanding the billing requirements for all payors and programs.
Entering and approving data into the Management Information system according to appropriate guidelines to ensure accurate accounts receivable.
Coding and entering hospital charges from charge sheets and/or face sheets within established guidelines.
Analyzing provider documentation to ensure the appropriate Evaluation & Management coding levels are assigned the correct CPT or CDT code.
Providing expertise to Billing staff in addressing appeals for denials due to incorrect diagnoses for services performed.
Serving on the Patient Accounts Audit team to facilitate the auditing of provider encounters for compliance and reimbursement maximization.
Serving as a coding reviewer to support the charge posting process.
Executing daily workload in full compliance with state and federal billing regulations.
Accepting, reviewing, analyzing, and coding diagnostic and procedural information that determines Medicaid, Medicare, CHP+, and private insurance payments.
Reviewing ICD-9-CM, ICD-10-CM, CPT, CDT, and HCPCS coding for procedures performed by providers.
Conducting periodic Quality Assurance Processes for Patient Accounts Coders to ensure accuracy and policy compliance in hospital charges, coding review, daily emails, fee tickets, and other assigned tasks.
Tracking and reporting the progress of Patient Accounts coders for leadership decision-making.
Summarizing and reporting trends in provider documentation and Patient Accounts team production.
Supporting the Patient Accounts Coding and Charge Posting Manager in duty assignment and Production Log Review.
Providing initial and ongoing training to provider staff regarding coding compliance.
Developing training materials for ongoing use by provider staff and Patient Accounts staff.
Completing charge reconciliation for hospital charges.
Reviewing operational processes for improvement opportunities and participating in organizational PI studies, as needed.
Promoting and demonstrating the mission, vision, and Core Values of Peak Vista.
Developing and maintaining good working relationships with all departments, the management team, medical staff, and leadership.
Embracing cultural diversity amongst ourselves and our community.
Being responsible for the human, financial, and material resources, as well as data and information entrusted to us.
Striving to deliver the best outcomes and highest quality service.
Demonstrating knowledge of and adherence to the Compliance Plan and conflict of interest requirements.
Enhancing the effectiveness, efficiency, and productivity of the department by contributing to and participating in departmental performance improvement goals.
Performing other duties as assigned.