LifeLong Medical Care

  • Patient Accounts Certified Coder

    Job Locations US-CA-Berkeley
    Posted Date 2 weeks ago(11/7/2018 4:09 PM)
    ID
    2018-1918
  • Overview

    Supporting Community Healthcare is a rewarding role. LifeLong Medical Care is looking for a Patient Accounts Certified Coder in West Berkeley. The Patient Accounts Certified Coder supervises, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. The Certified Coder provides education to the providers to ensure proper completion of Electronic Health Records (EHR) and proper diagnostic and procedural codes. This is a full time, benefit eligible role.

     

    LifeLong Medical Care is a large, multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have 16 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more. LifeLong Medical Care is an Equal Opportunity Employer.

     

    Benefits

    We offer excellent benefits including: medical, dental, vision, generous leave benefits including nine paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan.

    Responsibilities

    • Audits records to ensure proper submission of services prior to billing on pre-determined selected charges.
    • Supplies correct International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) diagnosis codes on all diagnoses provided.
    • Supplies correct Current Procedural Terminology (CPT) and Health common Procedure Coding System (HCPCS) code on all procedure and service performed.
    • Contact clinicians to train and provide them with correct coding information.
    • Audits Electronic Health Records (EHR) to ensure proper coding has been completed and to ensure compliance with federal and state regulatory agencies.
    • Ensures compliance standards in accordance with the compliance policies and the Code of Conduct. Reports compliance problems appropriately and timely to the Patient Accounts Manager.
    • Analyzes provider documentation to ensure the appropriate Evaluation & Management (E&M) levels are assigned using the correct Current Procedural Terminology (CPT) code.
    • Follows-up in person or by telephone with providers and clinic personnel to resolve escalated issues.
    • Coordinates the daily tracking of missing or incomplete patient encounters.
    • Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center of Medicare and Medicaid Services (CMS).
    • Performs other related duties and projects as needed or assigned by Manager.

    Qualifications

    • Commitment to the provision of primary care services for the underserved with demonstrated ability and sensitivity in working with a variety of people from low-income populations, with diverse educational, lifestyle, ethnic, and cultural origins.
    • Strong organizational, administrative, multi-tasking, prioritization and problem-solving skills.
    • Ability to work effectively under pressure in a positive friendly manner and to be flexible and adaptive to change.
    • Ability to effectively present information to providers, including other employees and IT staff.
    • Ability to work with individuals and organizations at the local level to build support.
    • Ability to seek direction/approval on essential matters, yet work independently with little onsite supervision, using professional judgment and diplomacy.
    • Work in a team-oriented environment with a number of professionals with different work styles and support needs.
    • Excellent interpersonal, verbal, and written skills.
    • Conduct oneself in internal and external settings in a way that reflects positively on LifeLong Medical Care as an organization of professional, confident and sensitive staff.
    • Ability to see how one’s work intersects with that of other departments of LifeLong Medical Care and that of other partner organizations.
    • Make appropriate use of knowledge/ -expertise/ -connections of other staff.
    • Be creative and mature with a “can do,” proactive attitude and an ability to continuously “scan” the environment, identifying and taking advantage of opportunities for improvement.

    Job Requirements

    • AA degree or equivalent combination of education and/or work experience.
    • Five years’ experience medical coding or a related field.
    • Working knowledge of medical terminology and Current Procedural Terminology (CPT), International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and Health common Procedure Coding System (HCPCS).
    • Medical Coding Certificate – Certified Professional Coder (CPC®) or Certified Coding Specialist (CCS®) is required.
    • Knowledge of, and adherence to, Health Insurance Portability and Accountability Act (HIPAA) guidelines.
    • Proficient in Microsoft office Word, Excel, and Outlook.
    • Knowledge of billing practices required, Federally Qualified Health Center (FQHC) billing preferred.

    Job Preferences

    • College degree in related field preferred.
    • Proficient NextGen, eCW and Dentrix.

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