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Hours Full-time, Part-time
Location Meridian, ID
Meridian, Idaho

About this job

Department:

ID101_59200 Coding & Compliance

Expected Weekly Hours:

40

Shift:

Day Shift

Position Purpose:

Works in a team environment and is responsible for ensuring accurate CPT and ICD documentation for the patient billing process. Creates a positive experience for the patient and family members by addressing billing related questions. Takes responsibility for educating fellow team members and providers to accurately document services they have performed and use the appropriate code representing those services. Ensures timely depositing of patient payments and verifies the accuracy of data reported by the Patient Service Representatives.

Job Description Details:

SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:

* High School Diploma or equivalent required.

* Successfully completed CPC course and applied and been accepted to the AAPC. Must complete and maintain Certification in Procedural Coding exam within one year of hire and maintain AAPC, AHIMA or CCSP certification/membership.

* Minimum of two years of experience in medical coding and billing required. Level II requires 2 years of coding experience in a medical office setting. Level III requires 5 years of coding experience including 1 year of proven experience reviewing, auditing, providing feedback to Providers, and coding by documentation and 1 year with the organization as a level II.

* Understanding of various medical claims formats.

* Working knowledge in medical terminology.

* Knowledge of payer contracts and reimbursement.

* Thorough working knowledge of Federal, State and Private payer regulations.

* Excellent verbal and written communication skills.

* Problem identification and problem solving skills.

* Customer service oriented attitude/behavior.

* Ability to interact with patients and providers in a pleasant/neat poised demeanor.

* Polite and courteous speaking manner and excellent telephone etiquette.

* Proficiency in computer skills including Word, Excel, Outlook, typing skills and 10-key.

* Detail oriented with the ability to complete tasks in a timely manner.

* Ability to work well as a team member.

ESSENTIAL FUNCTIONS:

* Meets health system's Guiding Behaviors and Caring Standards including interpersonal communication and professional conduct expectations.

* Ensures medical documentation and coding compliance with Federal, State and Private payer regulations.

* Performs coding functions, including CPT, ICD-9/10 assignment, documentation review and claim denial review.

* Responsible for proofing daily charges for accuracy and clean claim submission.

* Responsible for balancing charges and adjustments.

* Maintains productivity standards.

* Maintains compliance with regulatory requirements

* Participates in seminars and continuing education activities pertinent to areas of job responsibility.

* Conducts coding education for physicians and staff.

* Maintains patient confidentiality.

* Performs daily deposits and accurately maintains Month End Reports.

* Follows Cash Control Policy and Procedure.

* Substitutes at other clinics if Coder is needed.

* Participates in and attends off site meetings/seminars.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 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.

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