Confluence Health

Strong knowledge of medical terminology, anatomy & physiology, and pharmacology is needed.. Demonstrate knowledge of CMS Hierarchical Condition Category (HCC) Risk Adjustment coding.. Certified Facility Coder Functions:Facility coders are responsible for coding: Inpatient, Ambulatory, Observation, Emergency Department which includes charge capture, charging medication administration and knowledge of multiple specialties consultation/procedures.. One of the following coding certifications: CPC, CIC, COC from American Academy of Professional Coders (AAPC) or CCA, CCS, RHIA, RHIT from American Health Information Management Association (AHIMA).. Desired:Experience with EPIC EHR.Facility coders: Experience with Nuance Clintegrity encoder system.

coder

Job Description Salary - OverviewLocated in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.Pool Employees of Confluence Health receive a range of benefits in addition to compensation.Retirement PlanPool DifferentialSick LeaveShift DifferentialEmployee Assistance ProgramFor more information on our Benefits & Perks, click here! SummaryCertified Coders have the option to work virtually. Must reside in the state of WA, ID, MT, TX, OR.Please note: This is a pool position. No guarantee of hours. The Certified Medical Coder will be responsible for reviewing all medical record information to extract data and apply appropriate diagnoses and procedure codes for billing, internal and external reporting, research, and regulatory compliance. Accurately codes conditions and procedures as documented in the Official Guidelines for Coding and Reporting for Hospital Departments. Acts as a coding resource for team members as well as medical staff, ensuring coding practices fall with the established compliance guidelines for ICD-CM/PCS, CPT & HCPCS according to American Medical Association (AMA) and CMS. Assigning codes utilizing an electronic encoder application in accordance with the practice policy and regulatory guidelines. Strong knowledge of medical terminology, anatomy & physiology, and pharmacology is needed. The Certified Medical Coder will be responsible for abstracting and assigning ICD--CM/PCS, CPT, or HCPCS codes per coding guidelines. Assists with coding audits rebuttals from payor and RAC audits when due to coding.Position Reports To: Coding Department Manager Essential FunctionsReviews accounts and charges in EPIC.Codes all records based on documentation, following coding guidelines, payer regulations and ethics.Demonstrate knowledge of CMS Hierarchical Condition Category (HCC) Risk Adjustment coding.Apply knowledge of coding rules, review and resolve CCI/LCD/NCD’s and modifier edits.Effectively uses software and/or coding books to verify coding accuracy.Responsible to stay current with billing guidelines and reimbursement rules and regulations.Work with Revenue Integrity & Compliance on audits and coding questions.Contribute as a team member with our Clinical Documentation Specialists.Provides feedback to providers regarding incorrect coding using authorized methods as directed by department policy. Such as physician queries for incomplete/contradictory diagnosis or greater specificity.Works with clinical staff to resolve coding issues and related problems.Assists with coding audits rebuttals from payor and RAC audits when due to coding.Participates in educational activities as requested attending meetings with clinical staff).Maintain department coding production standards for the specialties you are assigned to code.May be requested to perform job tasks not specifically related to primary assignments for the success of the organization as requested by management.Other duties as assigned.Certified Facility Coder Functions:Facility coders are responsible for coding: Inpatient, Ambulatory, Observation, Emergency Department which includes charge capture, charging medication administration and knowledge of multiple specialties consultation/procedures. They are also responsible for coding Interventional Radiology, Radiology, Outpatient OB, Outpatient Therapy, and /or Infusions.Ability to extract and assign ICD-CM/PCS, CPT and HCPCS codes per coding guidelines and appropriate service utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.Inpatient diagnoses and procedures shall be coded in accordance with UHDDS definitions for principal and additional diagnoses and procedures as specified in the Official Guidelines for Coding and Reporting.Understanding/assign DRG’s, MC’s and CCs for Inpatient Facility Coding.Review and adjust coding for Part A/B rebilling.Ability to research Coding Clinics.Reviewing medications to apply appropriate infusion administration charges.Participate and respond to audits by providing rebuttal letters if needed.Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Position RequirementsBeing fully vaccinated against COVID- is an essential requirement of working at Confluence Health. Religious and medical exemptions will be considered upon request. Qualifications Required:High School graduate or equivalent.One of the following coding certifications: CPC, CIC, COC from American Academy of Professional Coders (AAPC) or CCA, CCS, RHIA, RHIT from American Health Information Management Association (AHIMA).Minimum 1 year coding experience or equivalent education/experience.Knowledge of ICD-, CPT coding, medical terminology, and insurance billing.Understanding of DRG’s for Inpatient Facility coding positions.Possesses basic computer spreadsheets, word processing) skills.Desired:Experience with EPIC EHR.Facility coders: Experience with Nuance Clintegrity encoder system.Second coding certification from AAPC or AHIMA. Physical/Sensory DemandsO = Occasional, represents 1 to % or up to minutes in a 2 hour workday.F = Frequent, represents to % or up to 1 hour of a 2 hour workday.C = Continuous, represents % to % or up to 2 hours of a 2 hour workday.Physical/Sensory Demands For This Position:Walking - FSitting/Standing - CReaching: Shoulder Height - FReaching: Above shoulder height - FReaching: Below shoulder height - FClimbing - OPulling/Pushing: pounds or less - OPulling/Pushing: pounds to pounds - OPulling/Pushing: Over pounds - OLifting: pounds or less - OLifting: pounds to pounds - OLifting: Over pounds - OCarrying: pounds or less - OCarrying: pounds to pounds - OCarrying: Over pounds - OCrawling/Kneeling - OBending/Stooping/Crouching - FTwisting/Turning - FRepetitive Movement - F Working Conditions:Normal office environment or optional remote work in approved state.Job Classification:FLSA: Non-ExemptHourly/Salary: HourlyPhysical Exposures For This Position:Unprotected Heights - NoHeat - NoCold - NoMechanical Hazards - NoHazardous Substances - NoBlood Borne Pathogens Exposure Potential - NoLighting - NoNoise - NoIonizing/Non-Ionizing Radiation - NoInfectious Diseases - No

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