Job Details

Job Description

Coder (Certified)

FLSA Classification: Non-exempt

Reports to: Patient Accounts Receivable Manager

Job Summary/Objective:

The Coder (Certified) facilitates billing of services provided by performing CPT and ICD-10 coding, investigating charges, and processing Accounts Receivable packets. Performs all defined services and other related duties in accordance with the mission of Peoples Community Health Clinic.

Protected Health Information Requirements/Access:

• This position will require the use or disclosure of protected health Information.
• This position will use the Payment class of protected health information.
• Restrictions on the protected health information for this position will follow the Privacy Policies of Peoples Community Health Clinic, Inc.
• Use or disclosure of protected health information not routinely available to this position will follow procedures assessed by or directed by management.
• Patient Records - Yes Medical Information System - Yes

Essential Functions:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Assigns ICD-10, and CPT diagnostic and procedural codes.
• Verifies procedures and/or diagnoses to ensure that all charges have been submitted.
• Communicates with physician to facilitate billing of services provided.
• Performs encounter data entry.
• Supports a service-oriented atmosphere in accordance with PCHC Mission and Philosophy.
• Works to improve work processes and clinical outcomes including health disparity and quality improvement collaboratives.
• Follows policies and procedures.
• Develops and maintains own competence.
• Maintains a safe working environment and practices safe working habits.
• Assists in control of PCHC resources.

Competencies:

• Strong analytical and problem-solving skills
• Maintains strong clinical coding knowledge
• Ability to work effectively with a diverse group of health care professionals
• 10-key calculator, data entry, and working knowledge of MS Office Products (ex. Excel, Word, Outlook, Power Point) and Windows Platform. Must be comfortable moving within an EHR computer system regularly
• Ability to work with a large degree of independence
• Intermediate language, intermediate math, high reasoning ability
• Maintains strict confidence
• Skilled in planning, organizing, adaptability, attentiveness to detail and flexibility of assignment.

Supervisory Responsibilities:

• Not applicable

Patient Population:

• Not applicable

Work Environment/Personal Protective Equipment:

• Not required

Physical Demands:

This position requires continuous sitting (67% - 100% of shift); occasional walking (1% - 33% of shift); continuous finger dexterity and use of hands/arms for repetitive movement (67% - 100% of shift). This position requires 20/20 near vision.

Position Type/Expected Hours of Work:

This is a full-time position that primarily works remotely with an expectation of weekly in-office, in-person meetings as well as occasional in-office coverage. Typical work hours and days are between Monday and Friday,8:00 a.m. to 5:00 p.m. and some flexibility in hours is allowed. Responsibilities occasionally may require irregular hours as deemed necessary. This may include an adjusted work schedule, long days, and early morning or late evening hours in order to meet client scheduling demands. The employee must work a minimum of 40.0 hours each week to maintain full-time status.

Travel:

Occasional driving might be expected for this position.

Education and Experience:

• Education in medical terminology.
• Minimum of 1 year coding experience (ICD-10 and CPT) preferred.

Licensure:

• Certified Coding Associate (CCA)

Other Duties:

The statements contained in this job description reflect general details as necessary to describe the principal functions of this job, the level of knowledge and skill typically required, and the scope of responsibility. It should not be considered an all-inclusive listing of work requirements as individuals may perform other duties as assigned.