Coder

Job Description:
• Responsible for critical access hospital coding including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic
• Ensure the timely and accurate coding of medical claims while maximizing reimbursement for services
• Abstract clinical information; translate medical documentation into diagnoses and procedural codes while utilizing currently accepted coding and classification systems
• Sequence codes according to established guidelines
• Analyze and interpret medical information, medical diagnoses, coding/classification systems to ensure accuracy for prospective payment system reimbursement
• Maintain current knowledge of coding rules and regulations as designated by the AMA, Centers of Medicare and Medicaid Services (CMS) and other payers
• Communicate issues to management, including payer, system, or escalated account issues
• Identify medical necessity denial trends and provide suggestions for resolution
• Perform other billing functions including claim submission, unpaid claims follow-up, denial resolution
• Participate in department meetings, in-service programs, and continuing education programs
• Convey professional attitude with patients, visitors, physicians, office staff and hospital personnel

Requirements:
• High School Diploma or GED - required
• Associate Degree - preferred
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) - required
• Three to five years in emergency room coding, infusion coding, specialty clinic procedure coding - preferred
• Two years’ experience with formal coding training - considered
• Knowledge of medical terminology - required
• Critical Access Hospital and/or Rural Health Clinic coding is a plus
• Proficient with Microsoft Office

Benefits:
• Ensure confidentiality of patient information, maintaining compliance with policies and procedures

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