Coder - Grace Medical
Grace Medical Center, AB, CA
1d ago
source : Covenant Health

Job Summary :

Under general supervision, coordinates the processing, review and application of ICD-9 & ICD-10 coding rule sets, CPT and HCPCS codes to medical records based on documentation provided by the providers and adheres to coding compliance for a specified clinical area.

Adheres to strict federal coding rules in selecting codes that appropriately and accurately reflect the condition that the patient had and the medical service that was provided.

Will communicate heavily with Coding / Compliance Department and coding peers to abstract clinical and statistical data for outcome measure and monitoring.

Provides coding education including but not limited to : Patient Representatives, Billing / Collection Specialists, and / or clinical providers in an effort to ensure compliance and capture appropriate revenues.

Assures timely data entry for billing or auditing purposes and performs quality checks of billing information in the applicable computer system(s).

Essential Functions :

  • Coding Department will be responsible for conducting Bi-Annual Evaluations and Management of Chart Audits for each provider;
  • scores, maintains database and reports regularly.

  • Abstracts and retrieves medical data used for evaluation, review, planning of research, in health care, health-related programs, and / or medical investigations and provides to manager or director as directed.
  • Maintains upgrades and edits of procedure codes and diagnosis codes in the practice management system to prevent denials.
  • Ensures compliance and appropriate code selection for claim purposes.

  • Responds to inquiries from physicians, staff, and outside agencies and / or individuals regarding coding or charge concern;
  • Maintains standardizations; ensures compliance and appropriate code selection and education for billing purposes.

  • Thoroughly understands and applies code ranges of medical and patient care data, utilizing established medical coding methodology and procedures.
  • Ensures strict confidentiality of medical and financial records and follows HIPAA guidelines.
  • Communicates with Coding and Compliance department regularly.
  • Maintains and adheres to the latest coding newsletter libraries in order to provide education and research utilization of coding trends.
  • Minimum Position Qualifications :

    Education : H.S. Diploma or GED

    Coursework / Training : CEUs required to maintain CPC or RHIT certificate.

    Experience : 1 year related to the essential functions specified.

    Licenses and Certifications : CPC-A, CPC or RHI

    Preferred Position Qualifications :

    Experience : 1 year experience in a physician practice setting

    Licenses and Certifications : CPC and / or CPC-H or RHI Covenant Health is celebrating nearly 100 years of serving Lubbock and our South Plains region.

    As the oldest and largest health system in Lubbock and the region, we currently employ over 5,200 people with a medical staff of over 600 physicians.

    For nearly 100 years, Covenant has been driven by a mission of providing a Christian ministry of healing and caring for the whole person - mind, body and spirit.

    Our vision and differentiator is we are the only faith-based, integrated health network in the West Texas / eastern New Mexico region dedicated to a Christian ministry of healing.

    As an expression of our mission, we believe we hold an important Covenant with our patients and try and treat every interaction as Sacred Encounters.

    Our ministry includes six hospitals with over 1,100 licensed beds :

    Covenant Medical Center - CMC

    Covenant Children’s

    Covenant Specialty

    Covenant Plainview - PLV

    Covenant Levelland - LVL

    Trustpoint (joint venture : Rehab Hospital of Lubbock)

    Covenant Medical Group (CMG)

    Covenant Health Partners

    Hospice of Lubbock

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