Coder - Home & Community Care Admin

Coder I
- Home & Community Care Admin Peace Health  is seeking a Coder I
- Home & Community Care Admin for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at Peace Health is $23.74 – $35.62. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. This position will be performed fully remote.

If telecommuting, Peace Health will provide the caregiver with necessary computer equipment. It is the responsibility of the caregiver to provide Internet access.
*** Must reside in Washington, Oregon, or Alaska.***

Utilizes knowledge of medical terminology, anatomy and physiology, coding software, coding conventions, local medical review policy, APC's, and hospital procedures to code outpatient medical records with ICD-10-CM and CPT4 coding classification systems to ensure accurate, complete and consistent coding for quality data.

• Review medical record documentation and codes diagnoses and procedures using ICD-10-CM and CPT4 coding conventions for the purpose of reimbursement, research, and compliance with federal and third-party payor regulations.
• Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges.
• Abstract information form medical records following established methods and procedures.
• Identifies problem documents and works with submitting departments to correct errors, including potential charging errors.
• Reviews and corrects claim and code edits as required.

• Accredited Program
  
  Required:
  
  Coding or a combination of education and experience that provides the caregiver with the requisite knowledge, skills and abilities to perform the job or Preferred:
  Completion of a formal coding certificate/education program

• Minimum of 1 year
• Preferred:
  Directly related work experience abstracting and coding information using ICD-10-CM and CPT-4 coding systems

• within 1 Year Certified Professional Coder
  - Apprentice
• Required:
  
  within 1 Year Registered Health Information Administrator
• Required:
  
  within 1 Year Registered Health Information Technician
• Required:
  
  within 1 Year Certified Coding Associate
• Required:
  
  within 1 Year Certified Coding Specialist
• Required:
  
  within 1 Year Certified Outpatient Coder
• Required:
  
  within 1 Year Certified Professional Coder
  - Hospital
• Required:
  
  within 1 Year Certified Inpatient Coder

• Proficient in MS Office (Required)
• Effective written and verbal communication skills (Required)
• Ability to understand and carry out instructions furnished in written, verbal or diagram form (Required)
• Demonstrated good judgment and decision-making skills (Required)
• Good organizational skills and attention to detail (Required)
• Knowledge of Medicare/Centers for Medicaid Services (CMS) requirements (Required)
• Understands outpatient CCI & OCE edits and modifier assignment in compliance with coding guidelines. (Required)
• Ability to work in an independent and/or remote environment. (Required)
• 3M or other CAC experience strongly (Preferred)
• Epic EMR experience (Preferred)

Consistent operations of computer and other office equipment. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Sedentary work. Predominantly operates in an office environment. Mental/Visual Ability to communicate and exchange accurate information. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures;

transcribing; viewing a computer terminal;…