CODER I Position Type: Regular
Scheduled Hours per 2 week Pay Period: 80
Primary Location: TN > CHATTANOOGA > MOUNTAIN MANAGEMENT OFFICE
Job Summary / Purpose
The Coder I is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance.
This role is typically responsible for less complex coding with oversight.
Essential Key Job Responsibilities Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines.
Communicates professionally with providers, practice management, and other stake holders either verbally or in writing.
Responsible for working encounters in the coding work queue or task lists in a timely manner.
Meets or exceeds organizational coding production and quality standards.
Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits.
Reviews and resolves coding denials. Participates in special projects and completes other duties as assigned.
Required Education for Staff Job Levels1:
· High school diploma or equivalent required.
Required Licensure and Certifications: · Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist Physician Based (CCS-P)
OR the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required.
Additional Responsibilities: Demonstrates a commitment to service, hospital values and professionalism through appropriate conduct and demeanor at all times.
Adheres to and exhibits our core values:
Reverence: Profound respect and awe for all of creation, the foundation that shapes spirituality, our relationships with others and our journey to God.
Integrity: Moral wholeness, soundness, fidelity, trust, truthfulness in all we do.
Compassion: Solidarity with one another, capacity to enter into another's joy and sorrow.
Excellence: Preeminent performance, becoming the benchmark, putting forth our personal and professional best.
Maintains confidentiality and protects sensitive data at all times.
Adheres to organizational and department specific safety standards and guidelines.
Works collaboratively and supports efforts of team members.
Demonstrates exceptional customer service and interacts effectively with physicians, patients, visitors, staff and the broader health care community.
Catholic Health Initiatives and its organizations are Equal Opportunity Employers
This position requires a criminal background check.
Therefore, you may be required to provide information about your criminal history in order to be considered for this position.
Additional Information Requisition ID: 2019-R0230848
Schedule: Full-time Shift: Day Job
Market: CHI Memorial
About this company
Memorial Health Care System is a not-for-profit, faith-based healthcare organization dedicated to the healing ministry of the Church. Founded by the Sisters of Charity of Nazareth and strengthened as part of Catholic Health Initiatives, it offers a continuum of care including preventative, primary and acute hospital care, as well as cancer and cardiac care, orthopedic and rehabilitation services. Memorial is a regional referral center of choice with 4,000 associates and more than 700 affiliated physicians providing health care throughout Southeast Tennessee and North Georgia. Memorial Health Care System is recognized as one of the nation's 100 Top Hospitals® by Thomson Reuters, the health care industry's leading source of information on hospital quality.
Location/Region: Chattanooga, TN (37404)