[Hiring] PRN IP Facility PCS/ICD Coder @Presbyterian Healthcare Services

Role Description

Now Hiring: Remote PRN IP Facility PCS/ICD Coder

Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures.

• Type of Opportunity: PRN
• Job Exempt: No
• Job is based: Remote Workers New Mexico
• Work Shift: Varied Days and Hours (United States of America)

Responsibilities

• Reviews patients' entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.
• Abstracts data essential to the QI department in determining patient care issues as well as providing information to The Joint Commission.
• Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner.
• Takes responsibility for accounts receivable by looking for lost documents to ensure all encounters are coded, including the generation of appropriate queries, as needed.
• Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts.
• Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area.
• Participates in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment.
• Communicates issues to the EW Clinical Coding Manager & Supervisor, as appropriate.
• Must demonstrate knowledge of coding multiple areas of service and/or specialties.
• Maintains at least a 95% accuracy rate.
• Maintains average to high productivity based on PHS Productivity Standards.
• Maintains continuing education (CE) requirements per PHS policy.

Qualifications

• High school diploma/GED required.
• Must have any one of the following coding certifications at time of hire: HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire.
• One-three years experience as a coder required.
• Must possess computer skills including, but not limited to, Word, Excel, PowerPoint.
• Experience with an encoder preferred.
• Experience with an Electronic Medical Record preferred.
• Must be able to use the internet and other electronic resources for the purpose of research.

Benefits

• Comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
• Employee Wellness rewards program designed to provide engaging opportunities to enhance health and activate well-being.

Company Description

Presbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

• Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.