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The Coder reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement.

KEY RESPONSIBILITIES:

+ Assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures for documented information.

+ Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.

+ Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.

+ Abstracts all necessary information and assigns codes (ICD-10, CPT & HCPCS), which most accurately describe each documented diagnosis, special therapy or procedure according to established guidelines.

+ Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.

+ Performs a comprehensive review of the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data.

+ Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered.

+ Reviews the records for compliance with established third-party reimbursement agencies and special screening criteria.

+ Provides educational opportunities with the providers.

+ Notifies the physicians and follows up on the physician queries.

+ Independently uses discretion and judgment to evaluate clinical documentation.

Requirements

+ High school degree or equivalent required

+ CCS, CPC, or RHIT credential required or obtained within within 12 months of hire.

+ Two (2) years of coding experience using ICD-10-CM or equivalency preferred.

+ Two (2) years’ health care experience preferred.

+ Maintains confidentiality of patients at all times.

+ Skill in correlating generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct code.

+ Advance knowledge of medical codes involving selection of most accurate and descriptive code.

+ Proficiency with software and/or equipment (Microsoft Office applications including Outlook, Word, Excel and PowerPoint.)

Benefits

A full benefits package is available the first of the month following just one (1) month of employment!

Desert Parkway offers competitive benefits to include:

+ Medical insurance (three plans to choose from)

+ Dental insurance (two plans to choose from)

+ Vision insurance

+ 401K Retirement Plan

+ Healthcare spending account

+ Dependent care spending account

+ PTO Plan with holiday premium pay

+ Discounted cafeteria meal plan

+ Life insurance (including plans for spouse and children)

+ Short- and long-term disability (with additional buy-in opportunities)

+ Pet Insurance

+ Identity Theft Insurance