MEDICAL RECORDS CODER/ACCOUNTS RESOULTION SPECIALIST (full-time)

Jackson Parish Hospital is currently seeks a full-time Medical Records Coder/Accounts Resolution Specialist. This position comes with a full benefit package which includes medical, dental, vision, life insurance, short and long-term disability, retirement, 8 paid holidays, Accrued Time Off, and other supplemental plans.

The Medical Records Coder/Account Resolution Specialist is responsible for the coding of clinical records using the coding system and researching, resolving, and collecting on accounts.

ESSENTIAL FUNCTIONS/ RESPONSIBILITIES

• Performs coding of clinical records, sequences diagnoses and procedures, and assigns DRG’s to facilitate the billing process.
• Monitors charts for medical necessity and alerts providers.
• Acts as a resource for questions regarding coding and billing procedures.
• Ensures that records are coded within a timely manner usually within 24 hours after chart is ready for coding.
• Codes medical records of discharged patients, Emergency Room patients, Clinics, and Outpatients, thoroughly reviewing charts to ascertain all pertinent diagnoses and procedures.
• Maintains and ensures patient confidentiality at all times following all HIPAA regulations.
• Responds to requests for information in a professional and courteous manner.
• Participates in quality and performance improvement activities, both departmental and hospital wide.
• Responsible for providing quality customer service while performing and resolving patient account issues.
• Researches and resolves clinic or hospital billing issues and complete necessary follow-up correcting any incorrect claims.
• Reviews clinic and/or hospital accounts; Codes and updates charges and adds modifiers. 
• Monitors charges, making sure they are correct.
• Daily deposit verification.
• Help cover the Switchboard if needed.
• Works ques in SSI or Emergency if applicable.
• Perform other assigned duties as necessary to support the Business Office or as assigned by supervisor.
• Informs management of any operational issues or customer satisfaction issues.
• Check email daily.
• Maintains and ensures patient confidentiality at all times.
• Reports to work on time and as scheduled; completes work within designated time frames.
• Attends staff meetings as scheduled.  
• Represents the organization in a positive and professional manner.
• Adheres to JPH policies and procedures.

This description is a general statement of required essential functions performed on a regular and continuous basis. It does not exclude other duties as assigned.

EDUCATION, TRAINING, AND EXPERIENCE:

• High School graduate or equivalent. Associates degree or equivalent in work experience required.
• Knowledge in medical and anatomical terminology preferred.
• Knowledge of classification systems and coding guidelines preferred.
• Knowledge of Medicare and other third-part billing requirements is preferred.
• Minimum of (1) year of related work experience in a health care setting preferred.
• ICDIO & CPT Code knowledge preferred.
• Insurance knowledge preferred.

LICENSURE/CERTIFICATIONS

• RHIA, RHIT, or CCS required or CAH-CBS certification with experience in related Business Office functions.

LANGUAGE and PROFICIENCY REQUIREMENTS:

• Able to communicate effectively in English, both verbally and in writing. 
• Strong written and verbal skills.

SKILL REQUIREMENTS:

• Ability to work alone or with minimal supervision.
• Professional/Courteous rapport with patients, families, co-workers, physicians and visitors.
• Ability to work under and handle stress in an appropriate manner.
• Ability to work long hours between breaks and meals, if necessary.  
• Basic computer competency. Must be proficient in Microsoft Word and Excel.

MACHINERY/TOOLS/EQUIPMENT REQUIREMENTS:

• Ability to operate and troubleshoot telephone, fax machine, copy machine, computer, and printer/scanner.