CERTIFIED CODER I

About the role

The Certified Coder I position at JPS Health Network involves coding diagnosis and procedures from outpatient center/clinic records using ICD and CPT codes. This role works at Acclaim Magnolia and follows policies and guidelines set by the American Hospital Association (AHA) Coding Clinics and JPS Outpatient Coding Policy and Procedures.

Responsibilities

• Assigns codes to diagnosis and procedures of outpatient records, including clinics, Urgent Care, and Emergency room, utilizing ICD and CPT codes in accordance with coding guidelines.
• Ensures codes are assigned accurately and sequenced correctly to ensure appropriate reimbursement in accordance with government, insurance, and payer regulations.
• Identifies, researches, and corrects or routes accounts on the coding and billing edit work queues to meet coding guidelines and facilitate accurate billing.
• Queries providers when documentation is insufficient, conflicting, or ambiguous to elicit accurate documentation reflecting the most specific conditions or procedures.
• Maintains productivity and quality standards set forth in the District’s outpatient coding standards.
• Utilizes online and hard copy coding reference materials.
• Works closely with Outpatient Coding Supervisor and the health center/clinic medical and nursing staff regarding documentation and charging issues.
• Demonstrates evidence of professional growth by attending coding workshops, conferences, and seminars, maintaining required C.E. requirements, and studying coding, reimbursement, and HIM competencies.
• Performs other job-related duties as assigned.

Requirements

Required Education and Experience: High School Diploma, GED, or equivalent. Preferred Education and Experience: 1 year outpatient coding experience.

Qualifications

• Licensure/Certification/Specialized Training: At least one of the following registrations or certifications: AHIMA: RHIA, RHIT, CCS, or CCA; AAPC: CPC or CPC-H.

Skills

N/A

Benefits

N/A

Pay

N/A

Schedule

M-F 8AM-5PM