Coder-Health Information-8125

Kingman Regional Medical Center•Kingman, AZ

About The Position

The Professional Services Coder and Coding Reviewer works in Health Information Management to support the organization’s goal of providing kind, high-quality health care. The role evaluates medical record documentation and charge reports for completeness, accuracy, and compliance with Correct Coding Initiative edits; reports audit findings; and reviews insurance requests and claim denials to support the revenue cycle. The position codes professional charges and performs coding reviews and/or surgical coding for practices and providers, ensuring data quality and accurate, timely billing in compliance with state, federal, and regulatory requirements. The position may provide technical guidance, training, and ongoing coding education to physicians, office staff, and ancillary departments. It manages work activities, assignments, and schedules; provides reports on collected, abstracted, and coded data; and stays current on coding and documentation laws, regulations, and trends. The role requires collaboration and professional relationships with providers, operational directors, and business office staff, along with dependability, teamwork, patient confidentiality, attendance at required meetings, maintenance of certification, and continuing education. Other duties and assignments may be directed as needed. Travel to off-site locations may be required.

Requirements

Advanced knowledge of ICD-10-CM, CPT, HCPCS, medical terminology, and medically approved abbreviations.
Thorough understanding of CMS coding and billing guidelines.
Excellent written and verbal communication skills and critical-thinking skills.
Ability to work independently and make independent decisions based on specialized knowledge.
Computer literacy and familiarity with basic office equipment.
High school diploma or equivalent.
Maintain current AHIMA Certified Coding Specialist (CCS) or AAPC Certified Professional Coder (CPC), or be enrolled in AHIMA or AAPC and actively working toward the applicable certification. Certification is required within 12 months of hire or placement in the position.
Ability to collaborate with individual practices, the Business Office, and Operations Directors.
Ability to stand and walk as part of job responsibilities, work at a computer for extended periods, and perform some bending and lifting.

Nice To Haves

Experience in a medical billing/coding office.

Responsibilities

Evaluate medical record documentation and charge reports for completeness, accuracy, and compliance with Correct Coding Initiative edits.
Evaluate and report audit findings or review results to physicians and/or operations directors.
Evaluate insurance requests and claim denials to assist the Business Office with the revenue cycle.
Ensure data quality in compliance with state, federal, and regulatory requirements.
Code professional charges to support accurate and timely billing.
Perform coding reviews and/or surgical coding for practices and providers.
Provide technical guidance, training, and ongoing coding education to physicians, office staff, and ancillary departments when instructed.
Manage work activities, assignments, and schedules to ensure accurate and timely submission of information.
Provide requested reports on data collected, abstracted, and coded.
Review coding-related bulletins, newsletters, and periodicals and attend workshops to remain current on laws, regulations, issues, and trends.
Maintain patient confidentiality and build effective working relationships with providers, provider staff, operational directors, and business office staff.
Attend departmental meetings as required, maintain certification, and obtain continuing education units.
Complete other duties, projects, and assignments as directed or requested.
Travel to off-site locations as required.