[Hiring] PRN Professional Fee Multi-Specialty Coder @Presbyterian Healthcare Services

Role Description

Now Hiring: Remote PRN ProFee Multi specialty coder

Codes more than one of the following:

• Inpatient and/or outpatient hospital records
• ED records
• Home Health & Hospice records
• Professional fee services for PMG specialty providers

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) for financial reimbursement and research in accordance with Federal Regulations and Hospital and Departmental policies.
• Abstracts data essential to the QI department for determining patient care issues and 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 generating 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 concerning the given business area, including all ICD-9/10 CM, CPT-4, HCPCS, DRG, APC and/or HHRG updates and changes.
• Participates in all departmental in-services and updates to stay current with 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 to 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 research.

Benefits

• Comprehensive benefits package including medical, dental, vision, short-term and long-term disability, group term life insurance, and other optional voluntary benefits.
• Employee Wellness rewards program designed to enhance health and well-being through participation in wellness activities.

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.
• Largest private employer in the state with nearly 14,000 employees, including more than 1600 providers and nearly 4,700 nurses.
• Health plan serves more than 580,000 members statewide, offering Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke-free campuses.

We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services