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Employment Type:

Full time

Shift:

Day Shift

Description:

Reporting to the Manager Medical Group Revenue Cycle Site Operations, Fresno, this position is responsible for auditing, coding and entering patient services into EMR system. Sorts and files paperwork and handles insurance claims. Responsibilities include primary diagnosis and procedural coding for the designated specialty areas and other major procedural areas. The Certified Medical Coder focuses their work on the detailed physician chart abstraction and is liaison to documentation improvement and optimization of physician coding practices. Surgical abstraction coding is defined as identification of codes based solely on the source documentation for CPT and ICD-10 respectively. This position reports to the Billing Manager.

1. High School Diploma or equivalent is required. Associate degree is preferred.

2. Completion of accredited medical terminology course is required. Graduation from an accredited program for medical coding is preferred.

3. Two (2) years of certified coding experience in physician or medical group in multi- specialty or surgical practice, (i.e., Cardiothoracic Surgery, Neurosurgery, General Surgery, and Oncology etc.) is required, as well as chart auditing to identify under coding or up coding based on documentation for compliance and maximizing revenue. Four (4) years of non-certified coding experience may substitute.

4. Certified Professional Medical Auditor (CPMA), Certified Coding Specialist (CCS)or Certified Coding Specialist Professional (CCSP)from American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) is required within nine (9) months of hire.

SKILLS:

• Extensive knowledge of coding surgical procedures, applicable modifiers in multi-specialty setting.

• Knowledge of code auditing for compliance and maximizing revenue

• Ability to organize and bill appropriate codes according to Medicare, Medi-Cal and other payer guidelines

• Strong Computer Skills

• Excellent Communication Skills

• Highly organized

• Understands and apply appropriate Center Medicare Services guidelines to coding

• Advanced ICD-10-CM & CPT-4 coding conventions

• Anatomy and Physiology

• Medical Terminology • Effective written and verbal communication skills • Data entry/CRT

Pay range: 26.49 - 35.75

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran