Role Description
PeaceHealth is seeking a Coder I - Home & Community Care Admin for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $23.74 β $35.62. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. This position will be performed fully remote. If telecommuting, PeaceHealth will provide the caregiver with necessary computer equipment. It is the responsibility of the caregiver to provide Internet access.
Must reside in Washington, Oregon, or Alaska.
Utilizes knowledge of medical terminology, anatomy and physiology, coding software, coding conventions, local medical review policy, APC's, and hospital procedures to code outpatient medical records with ICD-10-CM and CPT4 coding classification systems to ensure accurate, complete and consistent coding for quality data.
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Review medical record documentation and codes diagnoses and procedures using ICD-10-CM and CPT4 coding conventions for the purpose of reimbursement, research, and compliance with federal and third-party payor regulations.
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Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges.
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Abstract information from medical records following established methods and procedures.
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Identifies problem documents and works with submitting departments to correct errors, including potential charging errors.
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Reviews and corrects claim and code edits as required.
Qualifications
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Accredited Program Required: Coding or a combination of education and experience that provides the caregiver with the requisite knowledge, skills and abilities to perform the job.
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Preferred: Completion of a formal coding certificate/education program.
Requirements
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Minimum of 1 year of directly related work experience abstracting and coding information using ICD-10-CM and CPT-4 coding systems (Preferred).
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Credentials Required within 1 Year:
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Certified Professional Coder - Apprentice
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Registered Health Information Administrator
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Registered Health Information Technician
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Certified Coding Associate
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Certified Coding Specialist
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Certified Outpatient Coder
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Certified Professional Coder - Hospital
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Certified Inpatient Coder
Skills
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Proficient in MS Office (Required)
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Effective written and verbal communication skills (Required)
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Ability to understand and carry out instructions furnished in written, verbal or diagram form (Required)
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Demonstrated good judgment and decision-making skills (Required)
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Good organizational skills and attention to detail (Required)
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Knowledge of Medicare/Centers for Medicaid Services (CMS) requirements (Required)
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Understands outpatient CCI & OCE edits and modifier assignment in compliance with coding guidelines (Required)
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Ability to work in an independent and/or remote environment (Required)
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3M or other CAC experience (Preferred)
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Epic EMR experience (Preferred)
Working Conditions
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Lifting: Consistently operates computer and other office equipment. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Sedentary work.
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Environmental Conditions: Predominantly operates in an office environment.
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Mental/Visual: Ability to communicate and exchange accurate information. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
Benefits
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Full medical/dental/vision coverage
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403b retirement plan employer base and matching contributions
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Paid time off
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Employer-paid life and disability insurance with additional buyup coverage options
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Tuition and continuing education reimbursement
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Wellness benefits
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Expanded EAP and mental health program