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Medical Coding Specialist (Corvallis)

compensation: see posting
employment type: full-time

OVERVIEW
The Benton County Health Services is seeking a Medical Coding Specialist to join the team. This position provides consistency and efficiency in patient claims processing and data collection to optimize reimbursement and facilitate data quality in billing services. Position will be responsible for timely, accurate and comprehensive abstraction of medical provider services from the medical chart/record, utilizing appropriate CPT-4 procedure and most current ICD diagnosis codes.

This position may be filled at the levels of Medical Coding Specialist 1 or Medical Coding Specialist 2 depending on qualifications.

TO APPLY: https://www.governmentjobs.com/careers/bentonor/jobs/2537314/medical-coding-specialist-bs22

Total Compensation
Medical Coding Specialist 1: $37,192 - $45,556 annually; DOQ/E.
Medical Coding Specialist 2: $40,832 - $50,008 annually; DOQ/E.
Benefits: Benton County offers a choice of a premium paid Consumer Driven Health Plan with health savings or HRA VEBA account (County contribution) or a PPO plan with an optional flexible spending account; dental; vision; group life; LTD; fully-paid employer and employee contribution to Oregon PERS retirement plan; 1.5% contribution to deferred compensation; paid vacation, holiday, and sick leave; and a great work-life balance!

ESSENTIAL FUNCTIONS
Medical Coding Specialist
Coding(Medical Coding Specialist 1 & 2)
•Determine correct ICD-9/10-CM, CPT, and HCPCS Level II coding to support EHR clinical charting.
•Determine correct modifier assignments, group appropriateness, missed secondary diagnoses and/or procedures.
•Ensure compliance with all mandates, coding and patient reporting requirements.
•Monitor medical visit code selection by departments against facility specific criteria for appropriateness, assists in the development of such criteria as needed.
•Evaluate the quality of clinical documentation to spot incomplete or inconsistent documentation for patient encounters that impact the code selection and resulting payment.

Customer Service and Training(Medical Coding Specialist 1 only)
•Communicate any updates published in third-party payer newsletters/bulletins and provider manuals to all facility staff that need this information.
•Assist clinicians and co-workers with coding specific questions.
•Answer and field queries from the designated billing phone line.
•Assist in serving other staff for processes related to coding.

Customer Service and Training(Medical Coding Specialist 2 only)
•Arrange for and provide training of facility healthcare professionals on the use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes, appropriate to the job description and function as it relates to the other outpatient data quality management factors.
•Maintain knowledge of current professional coding certification requirements, knowledge of changes in coding and coding practices. May serve as the facility representative for Benton County by attending coding and reimbursement workshops, bringing back information to the appropriate departments.
•Communicate any updates published in third-party payer newsletters/bulletins and provider manuals to all facility staff that need this information.
•Assist clinicians and co-workers with coding specific questions.
•Answer and field queries from the designated billing phone line.
•Assist in serving as in-house subject matter expert for processes related to coding.

Auditing and Quality Assurance(Medical Coding Specialist 1 & 2)
•Perform periodic claim form reviews to check code transfer accuracy from the abstracting system and the charge master.
•Evaluate, record, and notify the Management team on changes and/or trends found on denial notices.
•Monitor patient unbilled accounts report for outstanding and/or un-coded patient encounters.

Billing Functions(Medical Coding Specialist 1 & 2)
•Serve as backup to various individuals within the Community Health Center Business Office, as needed.
•Review and provide quality assurance input on Community Health Center coding tables to ensure that accurate and current ICD-10-CM, CPT, and HCPCS Level II codes are being used, obsolete codes are removed from use.

And Other Duties As Assigned


MINIMUM QUALIFICATIONS
Medical Coding Specialist 1
•High School or equivalent education.
•2 years of related experience such as data entry or office clerical.
•Medical Records Coding certification, Certification of Coding Education Program (CCEP) or Certified Professional Coder (CPC).
•Must have entry-level knowledge of medical coding regulatory requirements. Able to efficiently use ICD Diagnosis, CPT Procedural, and HCPCS Coding books.
Medical Coding Specialist 2
•Associate's degree or two-year technical certificate in Medical Coding, Health Information Technology or related field.
•2 years of medical records coding and coding review experience using ICD-10-CM, and CPT/HCPCS codes in a medical hospital or clinic setting with claims processing data management responsibilities.
•Medical Records Coding certification, Certification of Coding Education Program (CCEP) or Certified Professional Coder (CPC).
•Must have intermediate knowledge of medical coding regulatory requirements. Needs to be able to efficiently use ICD Diagnosis, CPT Procedural, and a HCPCS Coding Books.
An equivalent combination of education and experience may be accepted.


SPECIAL REQUIREMENTS
Knowledge of HIPAA privacy law related to the confidentiality of patient medical records and patient account data. Must have good oral and written communication skills. Ability to effectively communicate and work with physicians, staff and management. Position requires using Microsoft Word, Excel, Outlook, OCHIN practice Management system, OCHIN Electronic Health Record, Family Net system, State IRIS program for immunizations, State ALERT system.
Skill level may be intermediate to advance depending on specific job function.

ADDITIONAL INFORMATION
While performing the duties of this job, the employee is frequently required to use hands to finger, handle or feel; talk; or hear. The employee is occasionally required to stand; walk; sit; reach with hands and arms; and stoop; kneel; or crouch The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.

The employee works in well-lighted, clean environments. The noise level in the work environment is quiet to moderate. The employee may occasionally work with angry or hostile clients or members of the public and exposure to infectious illnesses.
  • Principals only. Recruiters, please don't contact this job poster.
  • do NOT contact us with unsolicited services or offers

post id: 6960741852

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