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Medical Coder

Company: Rocky Mountain Health Care Services
Location: Colorado Springs
Posted on: January 15, 2019

Job Description:

POSITION SUMMARY: The Medical Coder position is responsible for analyzing and interpreting medical records to ascertain medical coding, providing complete and timely diagnosis information to regulatory agencies, and reviewing data to maximize revenue within regulatory guidelines. The ideal candidate for this position will be detail oriented, have a collaborative spirit and excellent communication skills. MISSION: Improving lives, optimizing wellness, Promoting independence COMPETENCIES:

  • Medicaid/Medicare Knowledge
  • ICD-10 Certified
  • Adaptability
  • Collaboration Skills
  • Communication Proficiency
  • Ethical Conduct
  • Technical Capacity
  • Thoroughness
  • Time Management RESPONSIBILITIES AND DUTIES: ESSENTIAL JOB FUNCTIONS:
    • Reviews participant medical records to ensure complete and accurate information.
    • Reviews medical staff documentation to ensure consistency and completeness.
    • Extracts principal diagnosis and procedures information utilizing current Medicare coding guidelines and other supporting references.
    • Enters codes into reporting database. Codes ancillary outpatient and inpatient hospital encounters using ICD-10 CM. Maintains the highest percentage of accuracy as possible and monitors personal audit results from independent coding auditor.
    • Reviews coding reports to ensure ongoing diagnoses are appropriately documented and follows up with PACE providers regarding dropped Hierarchical Condition Categories (HCC) and documentation requirements.
    • Analyzes reports for errors/irregularities and identifies root causes of error in order to prevent future coding errors.
    • Analyzes reports to monitor both favorable and unfavorable trends over time and brings the data analysis to supervisors attention for discussion and remediation.
    • Obtains and prepares data for periodic/special reports, as requested.
    • Maintains a positive and productive working relationship with PACE coding consultant(s) in order to gain PACE-specific guidance and coding knowledge.
    • Stays current in changing Medicare regulatory environment and requirements.
    • Assists Accounting staff with month-end activities, as requested.
    • Participates in projects related to year-end and other audits as needed.
    • Actively participates in Health Information Management team meetings and special projects to ensure the team successfully meets its strategic goals. ORGANIZATIONAL (CORE RATING FACTORS):
      • Ensures discretion with confidential information
      • Maintains courteous, helpful and professional behavior on the job
      • Support the success of the entire team by promoting a collaborative work environment
      • Adheres to all company policies and procedures, safety policies and procedures and OSHA safety guidelines
      • Consistently contributes to problem-solving and cooperates with identified resolutions.
      • Demonstrates regular attendance and punctuality
      • Brings issues and process improvement ideas to the attention of the Supervisor
      • Maintains verbal and written skills required for the position
      • Attends meetings and participates in committees as required
      • Completes annual trainings as required
      • Adheres to company dress code policy
      • Demonstrates appropriate level of time management in support of co-workers and the entire team

        Keywords: Rocky Mountain Health Care Services, Colorado Springs , Medical Coder, Healthcare , Colorado Springs, Colorado

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