Clinical Coder
Make a living while you make a difference at Trilogy Health Services—a senior living provider with the continuous goal of being the Best Healthcare Company in the Midwest.
About the role
The Clinical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural and diagnostic codes to resident records. Accurately assigns and sequences ICD-10-CM diagnostic and procedural codes and/or E&M and procedural codes to patient records for use in reimbursement and data collection.
Responsibilities
- Confirms appropriate diagnosis related group assignments.
- Verifies patient information to identify any documentation vs. report discrepancies and to ensure codes and other abstracted data are accurately applied to appropriate patient's account/encounter.
- Codes and abstracts medical records to provide information for financial reimbursement and data collection; converts interpreted data into appropriate code numbers.
- Assesses documentation and/or queries physician for additional information when indicated to clarify or provide specificity to a diagnosis, symptom, or reason for a service.
- Utilizes various classification systems to code and categorize patient information for insurance reimbursement purposes, for databases and registries, and to maintain resident medical and treatment histories.
- Analyzes information and enters into computer system.
- Retrieves patient medical records from medical personnel from various institutions.
- Protects the security of medical records to ensure that confidentiality is maintained and adheres to all HIPAA guidelines and regulations.
- Verifies signatures and reviews records for completeness, accuracy, and compliance with regulations.
- Attends and participates in annual company required in-service training programs.
- Other duties as assigned.
Requirements
- High School diploma or GED.
- 1–3 years of experience.
- Certified Medical Coder with one of the following active certifications (CPC from AAPC; or CCA, CCSP, CCS from AHIMA) preferred; or Licensed Practical Nurse; or Certified Medical Assistant; or Certified Nursing Assistant.
Physical Requirements
- Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours.
- Must be able to lift at least 50 lbs.
- Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
Benefits
- Competitive salaries and weekly pay.
- 401(k) company match.
- Mental Health Support Program.
- Student Loan Repayment and Tuition Reimbursement.
- Health, vision, dental & life insurance (effective the first of the month after your start date).
- First-time homebuyers’ program.
- HSA/FSA.
Schedule
Hybrid work environment—flexibility to work from home and meet with co-workers in person as desired.
Six-month training and orientation period (“blue-badge” period) with ongoing support.
State law requires a criminal record check as a condition of employment.