Coder I - Physician - Pool/PRN in Denver, Colorado at National Jewish Health

Position Summary
This position is responsible for the accurate coding and billing of inpatient and outpatient professional services provided to patients working from the appropriate documentation in the medical record. Classification systems include the current versions of CPT and ICD as well as other specialty systems as required by diagnostic category. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association, Centers for Medicare and Medicaid Services, and organizational coding guidelines.

Essential Duties

1. Reviews and audits documentation for verification of type and level of professional services rendered using the current version of the Evaluation and Management Guidelines and CPT coding rules and guidelines.
2. Queries providers and/or appropriate staff when documentation is missing, inadequate, ambiguous or unclear for coding purposes. Utilizes proper written and verbal communication skills.
3. Summarizes audit findings and assists supervisor in providing ongoing training to providers on coding and documentation requirements assuring accurate reimbursement for services provided. Utilizes proper communication skills when presenting educational opportunities to providers.
4. Reviews and/or assigns CPT codes for the procedures performed on and off campus. Utilizes all documentation necessary to assign the proper CPT codes. This includes assigning correct CPT modifiers to document atypical services rendered.

Other Duties

1. Attends meetings and educational conferences for professional development and ongoing education to maintain coding credentials.

Competencies

1. Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.
2. Attention to Detail: Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.
3. Coaching and Teaching Others: Providing timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.
4. Energy: Consistently maintaining high levels of activity or productivity; operating with vigor, effectiveness, and determination over extended periods of time.
5. Initiative: Taking prompt action to accomplish objectives; taking action to achieve goals beyond what is required; being proactive.
6. Professional Development: Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill to enhance their contribution to the organization.

Supervisory or Managerial Responsibility
None

Travel
Minimal local travel may be required.

Core Values

1. Be available to work as scheduled and report to work on time.
2. Be willing to accept supervision and work well with others.
3. Be well groomed, appropriately for your role and wear ID Badge visibly.
4. Be in compliance with all departmental and institutional policies, the Employee Handbook, Code of Conduct and completes NetLearning by due date annually.
5. Promotes a workplace culture based on mutual respect and merit, where all individuals are treated fairly and provided with equal opportunity to contribute to the mission and goals of the institution.
6. Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures.
7. Wears appropriate PPE as outlined by the infection control policies and procedures.
8. Demonstrates compliance with all state, federal and all other regulatory agency requirements.

Minimum Qualifications

1. Education: High school diploma or equivalent required. Associate’s degree in Health Information Technology, Medical or Business field preferred.
2. Work Experience: A minimum of one year physician coding or medical records experience required.
3. Special Training, Certification or Licensure: A minimum of one of the following certifications is required: CPC, COC (CPC-H), CCA, CCS, CCS-P. CPC, CCS-P or RHIT.

Salary Range: $25.04 - $33.11

Benefits: This position is PRN and not eligible for benefits.