Coder

Committed to Our Community in the Heart of the Redwoods. Removing Barriers to Healthcare Access

Greenway Admin

Open Door Community Health Centers (ODCHC) relies on billing for services rendered and generated revenue for a significant portion of its operating budget. ODCHC is committed to proper billing procedures, documentation and review in compliance with federal and state laws and regulations and private payor requirements. The Coder I, working in collaboration with other Billing and Coding staff and the Coding Manager, is responsible for ensuring that documentation submitted by providers are accurately coded, including a congruence of final diagnoses, professional services, and procedures. As needed, Coder I will query providers as needed to resolve discrepancies in documentation, apply proper assignment of ICD, CPT and HCPCS codes and/or perform coding addendums to assure timely reimbursement.

Compensation Range:

$30.00-$34.68

All new hires will begin at the base wage of this position.

Hmong and Spanish speakers who successfully pass a language exam will receive a minimum additional .75 hourly differential to their wage.

ESSENTIAL DUTIES AND RESPONSIBILITIES: These essential responsibilities are performed within the context of collaboration and coordination with ODCHC’s Finance Department.

• Processes encounters submitted to Coder Review Work Queue to ensure congruent coding and documentation.
• Performs comprehensive review of documentation and other records to ensure documentation, signatures, dates, results and other documents are complete and that all services and supplies are included.
• Reviews encounters to ensure ICD diagnosis codes, CPT codes, HCPCS codes are supported and in compliance with payer’s coding and billing requirements or reassigns per documentation.
• Reviews charge sheet to ensure correct code assignments based on internal and/or external documentation.
• Collaborates with other coders and billers to resolve questions and discrepancies and foster quality and team work within the Coding Department.
• Reports workflow and processing concerns related to PMS and EMR to Coding Manager.
• Attends trainings as assigned and shares information with others as appropriate.
• Mentors others on coding topics and workflows.
• Other related duties as identified and assigned by supervisor.

QUALIFICATIONS AND EXPECTATIONS: The successful candidate will possess experience and skills spanning a variety of areas:

• Computer and computer application skills sufficient to accurately and efficiently use databases, spreadsheets, practice management and electronic health records systems, auditing and word processing software as required.
• Strong interpersonal skills and ability to establish constructive working relationships within the ODCHC Finance Department and with providers and other clinical staff.
• Ability to read, analyze and discuss moderately complex instructions, regulations and documents.
• Ability to prepare routine reports and correspondence.
• At least one year of related experience and/or training in clinical documentation improvement, coding, medical billing and/or auditing.
• Ability to multi-task, work independently, address problems, handle complex situations in a calm manner, and work under time pressures and with diverse colleagues.
• Adheres to ODCHC policies and protocols.

EDUCATION AND EXPEREINCE:

• High school diploma or GED.
• Two years of experience in a similar role; or an equivalent combination of education and experience.

CERTIFICATES, LICENSES, AND SKILLS:
• Have and maintain Medical Coding Certification (COC, CPC or CCS preferred) and meet standards in accordance with Professional Member’s Code of Conduct.

SUPERVISORY RESPONSIBILITIES: The Coder I is a non-supervisory position.

SUPERVISION AND SUPPORT: The Coder I reports directly to the Coding Manager. Significant collaboration with other members of the Finance Department is required.

PHYSICAL REQUIREMENTS: This is largely an office-based position. The physical requirements described are representative of those needed to successfully perform the essential duties of the position. Reasonable accommodation will be made to allow otherwise qualified candidates to perform these functions.

• Ability to communicate via telephone, video, and/or in-person.
• Vision adequate to read documents, computer screens, forms.
• Ability to remain stationary for extended periods of time.
• Ability to lift, carry, or otherwise move up to 25 pounds.
• Ability to use keyboard and view computer screens for extended periods of time.
• Ability to travel locally and long-distance.
• Ability to move around offices and clinics as needed.