Medical Coder II

ROCKY MOUNTAIN HEALTH CARE SERVICES•Colorado Springs, CO

19d•$23 - $31•Onsite

About The Position

The Medical Coder II position is responsible for analyzing and interpreting medical records to ascertain medical coding, providing complete and timely diagnosis information to regulatory agencies, and reviewing data to maximize revenue within regulatory guidelines. The ideal candidate for this position will be detail oriented, have a collaborative spirit and excellent communication skills.

Requirements

H.S. Diploma or equivalent required
Minimum 7 years experience with medical coding and familiarity with medical terminology is required.
Medicare and Medicaid coding experience with a working knowledge of compliance, federal and state rules and regulations required
Minimum 3-5 years experience with electronic health records systems required
CPC- Certified Professional Coder or CCS-P through AHIMA required within 6 months of hire

Nice To Haves

Associates degree in a related field preferred
Risk Management coding experience preferred

Responsibilities

Reviews participant medical records to ensure complete and accurate information
Reviews medical staff documentation to ensure consistency and completeness
Extracts principal diagnosis and procedures information utilizing current Medicare coding guidelines and other supporting references
Enters codes into reporting database. Codes ancillary outpatient and inpatient hospital encounters using ICD-10 CM. Maintains the highest percentage of accuracy as possible and monitors personal audit results from independent coding auditor
Reviews coding reports to ensure ongoing diagnoses are appropriately documented and follows up with providers regarding dropped Hierarchical Condition Categories (HCC) and documentation requirements
Analyzes reports for errors/irregularities and identifies root causes of error in order to prevent future coding errors
Analyzes reports to monitor both favorable and unfavorable trends over time and brings the data analysis to supervisors attention for discussion and remediation
Obtains and prepares data for periodic/special reports, as requested
Maintains a positive and productive working relationship with coding consultant(s) in order to gain organization-specific guidance and coding knowledge
Stays current in changing Medicare regulatory environment and requirements
Assists Accounting staff with month-end activities, as requested
Participates in projects related to year-end and other audits as needed
Actively participates in Health Information Management team meetings and special projects to ensure the team successfully meets its strategic goals
Demonstrates support of the Companys Mission, Vision and Core Values
Provides Exceptional Customer Service
Ensures discretion with confidential information in accordance with HIPAA guidelines
Supports a collaborative work environment including courteous, helpful and professional behavior
Embraces Organizational Excellence through practicing individual time management, efficiency and effectiveness and participating in continuous improvement efforts
Adheres to and supports all Company policies and procedures
Supports and practices safe work habits in accordance with policies and procedures
Brings ideas, problems and concerns forward and participates in resolution and implementation
Participates in and completes regulatory compliance trainings within the prescribed deadlines
Attends required meetings
Maintains skills and knowledge required including written and verbal communication, best practices for industry standards, and computer competency