Patient Accounts Coder

Peak Vista Community Health Centers•Colorado, CO

8d•$19 - $28

About The Position

Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 20 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 74,300 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC). Compensation (Pay): $19.00 to $27.55 /hourly based on experience. Summary of Benefits: Medical, Dental, Vision, Life, STD, LTD 403(b) Retirement with Company Match Paid Time Off Tuition Assistance Perks Rewards Employee Assistance Program https://www.peakvista.org/resources/benefits-summary Job Summary: Responsible for understanding clinical documentation and how it relates to medical coding, coding guidelines and payer rules. Essential Duties and Responsibilities include the following: Understands various payer types and how coding is impacted. Develops and maintains a thorough grasp of FQHC Guidelines and nuances that affect code reporting. Has foundational understanding of code sets and relevant use based on payors including Medicare, Medicaid, Commercial, Sliding Scale and Full Fee Utilize and navigate the EHR and Practice Management software appropriately to review documentation and process charges efficiently and accurately. Analyzes provider documentation to ensure the appropriate CPT, HCPCS, ICD-10-CM codes and modifiers are fully supported and accurately reported. Provides expertise to Accounts Receivable Staff in addressing appeals for denials due to potential coding errors. Support clinic staff with coding knowledge and resources Reviews charge line codes for accuracy to support the charge posting process. Execute daily workload within full compliance of state and federal coding regulations. Review, analyze, code and process charges. The position will require review of ICD-9-CM, ICD-10-CM, CPT and HCPCS coding of provider documentation. Summarizes and reports the trends of provider documentation to appropriate leadership Supports Coding and Clinic Leadership in duty assignment and production report reviews. Maintains required continuing education and certifications that are essential to the position. Perform self-audits and reviews/corrects Coding Supervisor audit reports to maintain a 95% coding accuracy. Collaborates with Coding team and Clinic Staff on coding training, reviews, and shares knowledge as it is gained. Utilizes appropriate resources to accurately abstract data and code provider and nurse visits. Stay abreast of code changes and documentation requirements as they occur. Perform other duties as assigned.

Requirements

High school diploma or equivalent education required.
CPC, CPC-A, CPC-P, CCS-P, RHIA or RHIT certification required.
Intermediate - 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

Nice To Haves

Relevant healthcare experience preferred.

Responsibilities

Understands various payer types and how coding is impacted.
Develops and maintains a thorough grasp of FQHC Guidelines and nuances that affect code reporting.
Has foundational understanding of code sets and relevant use based on payors including Medicare, Medicaid, Commercial, Sliding Scale and Full Fee
Utilize and navigate the EHR and Practice Management software appropriately to review documentation and process charges efficiently and accurately.
Analyzes provider documentation to ensure the appropriate CPT, HCPCS, ICD-10-CM codes and modifiers are fully supported and accurately reported.
Provides expertise to Accounts Receivable Staff in addressing appeals for denials due to potential coding errors.
Support clinic staff with coding knowledge and resources
Reviews charge line codes for accuracy to support the charge posting process.
Execute daily workload within full compliance of state and federal coding regulations.
Review, analyze, code and process charges.
The position will require review of ICD-9-CM, ICD-10-CM, CPT and HCPCS coding of provider documentation.
Summarizes and reports the trends of provider documentation to appropriate leadership
Supports Coding and Clinic Leadership in duty assignment and production report reviews.
Maintains required continuing education and certifications that are essential to the position.
Perform self-audits and reviews/corrects Coding Supervisor audit reports to maintain a 95% coding accuracy.
Collaborates with Coding team and Clinic Staff on coding training, reviews, and shares knowledge as it is gained.
Utilizes appropriate resources to accurately abstract data and code provider and nurse visits.
Stay abreast of code changes and documentation requirements as they occur.
Perform other duties as assigned.