Coder, Provider Practice - Clinic Coding

Company: Sanford Health
Location: Fargo
Posted on: January 16, 2020

Job Description:

Employer Sanford Health Location Fargo, North Dakota Salary Join our team! Posted Jan 08, 2020 Ref 18208 Industry Technology Role IT Job Type Long-Term You need to sign in or create an account to save Sanford Health is one of the largest and fastest-growing not-for-profit health systems in United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. See yourself at Sanford! Facility: Bison Mall Location: Fargo, ND Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Job Summary This position is for Family/Internal Med. Schedule is somewhat flexible: can choose a set schedule between 5:00am - 11:00pm with 4 hours required to be worked during the 8:00am-5:00pm timeframe. Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports both technical and professional services in provider clinic as well as hospital professional services. Maintains a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting documents and information to support the appeal process. Monitors and validates physician charge capture. Self-motivated with the ability to work independently, multi-task, problem solve and make informed and accurate recommendations to medical professionals based on current information. Participates in coding team meetings and serves as a subject matter expert. Reviews medical documentation from physicians and other healthcare providers; assigns modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Uses relevant policies, procedures, and individual judgment to determine whether events or processes comply with laws, regulations, or standards. Provide accurate and timely international classification of disease - tenth edition - clinical modification (ICD-10) - CM coding of diagnoses, Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) coding, and in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. Review and audit medical record documentation accurately to reflect healthcare coding and to substantiate appropriate service reimbursement. Conveying coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation. Computer skills, the ability to interpret, analyze and abstract data/documentation, have good problem-solving skills, be self-motivated and have good time management and organizational skills. Department Details The coding specialty for this position will be Family and Internal Medicine. Schedule is somewhat flexible: can choose a set schedule between 5:00am - 11:00pm with 4 hours required to be worked during the 8:00am-5:00pm timeframe. Qualifications Associate degree in Health Information Technology or Certification in Coding required. Specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in International Statistical Classification of Diseases (ICD) diagnosis, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding schemes, medical terminology or human anatomy/physiology is preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required. If the associate is not certified at hire, the associate must be become so within one year of the date of hire. This position is for Family/Internal Med. Schedule is somewhat flexible: can choose a set schedule between 5:00am - 11:00pm with 4 hours required to be worked during the 8:00am-5:00pm timeframe. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-************ or send an email to ************************ . Job Function: Revenue Cycle Req Number: R-18208 Featured: No

Keywords: Sanford Health, Fargo , Coder, Provider Practice - Clinic Coding, Healthcare , Fargo, North Dakota