Employment Opportunities
Lead Medical Coder
This position has been filled.
Public?:
Internal
Division:
Health
Reports To:
Health Systems Financial Officer
Type of Position:
Regular Full Time
Location:
Little Axe Health Center / 15951 Little Axe Dr. / Norman, OK 73026
General Description
This position is located at the AST Li Si Wi Nwi Clinic in Little Axe, Oklahoma within the Health Finance department. The Little Axe Health Center is a new facility that serves Absentee Shawnee Tribal members as well as other Native American and Non-native American Sooner Care patients. The purpose of this position is to abstract and code patient’s medical record, according to state and federal rules and regulations that will help process third party billing.
This position will be responsible for conducting coding and billing audits, providing education and communication of process improvements on outpatient coding. Monitor the accuracy and efficiency of the documentation and coding and provide tools and resources for improving accuracy or implementing changes. Implement an effective education and communication process for all coding and monitor the accuracy and efficiency of the documentation and coding staying current with new regulations and changes. Audits current coding practices and works directly with coders and providers to provide feedback and education as needed. This position may also assist with daily clinical and hospital coding as needed.
Responsibilites
Serve as ICD-10 and CPT expert providing on-going training, coaching and answering questions regarding accurate coding for physicians, providers and staff.
Answer with all coding questions; submission of claims; denial, payment and refund follow up.
Performs coding validation to ensure that the diagnoses/procedures submitted on the claim are supported by the clinical record documentation and appropriate billing by contact.
Accurately assign codes to all claims following the standards of ethical coding, developed by AHIMA and in accordance with the ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes and coding conventions.
Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
Audit provider-assigned codes in electronic health records.
Analyze, code, retrieves, and compiles data from patient record.
Participates in organization-wide quality improvement initiatives as requested.
Verifies all patient data in E H R Software to help ensure accuracy of information.
Search for information in cases where the coding is complex or unusual.
Communicate with other clinical staff regarding documentation.
Follow up with the provider on any documentation that is insufficient or unclear.
Communicate and ensure that all codes are current and active and help maintain and build CPT codes in ECW
Safeguards confidentiality of the medical charts/electronic health records and complies with all local, state, and federal laws pertaining to medical records. Assures compliance with all HIPAA regulations concerning use, retrieval, storage, and sharing of medical records.
Provide communication, education to physicians, and training to coding staff.
Chart auditing, data analysis of coding practices and staff education.
Maintain/update coding procedures and guidelines.
Participate and complete special projects and other duties as assigned
Education Requirements and Qualifications
Associates degree or equivalent with 2-4 years of experience in medical records and/or medical data entry. BA in related field, Health Information Administration, preferred. Three years in a fast paced medical office setting, preferred.
CPC-(Certified Professional Coder) with 7-10 years of experience
COC-Certified Outpatient Coder preferred.
Documented training and experience in maintenance of medical records and ICD-10-CM/DRG coding.
3-5 years’ experience in coding education or regulatory education or similar area
eClinical works E H R systems experience is preferred.
Knowledge, Skills and Abilities
A working knowledge of medical terminology and physiology and legal aspects of health information
Knowledge of accreditation standards and compliance requirements.
Must have knowledge of or experience in working with third party resources such as Medicare, Medicaid and Private Insurance, Contract Health or Coordination of Benefits, medical records, and patient registration.
Must be reliable, detailed oriented, capable of multi-tasking with excellent written and verbal communication skills as well as strong professional customer- service interpersonal skills.
Ability to communicate effectively orally and in writing; ability to relate well with co-workers and the general public.
Able to identify variances in documentation and correct assignment of CPT/ICD10 codes and educate staff of corrections.
Ability to understand provider/staff questions in the context of compliance and respond accordingly
Excellent organizational skills, ability to work independently and manage multiple projects and meet deadlines, prioritize workload, and handle sensitive and confidential information.
Ability to develop effective relationships with a broad array of people from different departments.
Ability to adjust to changing conditions and Ability to work independently or as a team.
Must be computer literate required (Windows operating systems – Microsoft Word, Excel).
Must have a valid Driver’s License
Must be able to pass a background check and drug screen.
Native American Preference/EEO/Smoke Free/Drug Free Workplace
Posted Date:
1 year 11 months ago