[Hiring] Remote OP Facility Coder @Presbyterian Healthcare Services

Role Description

Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote OP Facility Coder to join our team.

• 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:

• Code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers.
• Demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system.
• Ensure adherence to Hospital and Departmental Policies and Procedures.
• Review patients' entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS).
• Access several systems via the computer to research the medical record when needed to complete the coding in a timely manner.
• Take responsibility for accounts receivable by looking for lost documents to ensure all encounters are coded, including the generation of appropriate queries, as needed.
• Maintain and disseminate up-to-date technical knowledge of legal and regulatory information concerning the given business area.
• Resolve any and all pre-bill edits, denials, etc. for assigned accounts.
• Participate in all departmental in-services and updates to stay current with accepted coding guidelines.
• Communicate issues to the EW Clinical Coding Manager, as appropriate.
• Maintain at least a 95% accuracy rate.
• Maintain average to high productivity based on PHS Productivity Standards.
• Maintain continuing education (CE) requirements per PHS policy.
• Perform other functions as required.

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 RHIT/RHIA with achievement of one of the coding credentials above within one year of hire.
• Three to five years experience as a coder required.
• Inpatient Coding experience preferred.

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 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.
• State's largest private employer with nearly 14,000 employees, including more than 1600 providers and nearly 4,700 nurses.
• Health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.