Certified Professional Coder - Manning - Coding

Salary: $21.26 - $29.23
Schedule: Monday-Friday


JOB PURPOSE:
The Certified Professional Coder coordinates and performs the implementation of concurrent coding and querying processes, as well as performing administrative and fiscal duties, tasks, and assignments in support of the Business Office Department and its varied operations. A Certified Professional Coder is responsible for the translation of healthcare providers’ diagnostic and procedural phrases into coded form, as well as the review and interpretation of health record documentation to ensure accurate coding services are rendered and submitted. A Certified Professional Coder ensures that all technical aspects of the assignment of diagnostic and procedural coding are carried out in accordance with established standards and comply with CMS, NCQA, third-party payers, and other regulatory agencies. The incumbent will support and assist in the training and education of Coding Assistants in the use of organizational software applications, which support and facilitate concurrent coding. Performing the functions and requirements for this position follows standardized procedures and policies requiring limited judgment in their execution and will always remain within the defined scope for the position.
An employee in this position works with general supervision and review, and any work problems involving departures from standard policies, interpretations, or procedures are presented to the supervisor for resolution.
The primary goal of the El Rio Health Certified Professional Coder is to support El Rio’s Mission of providing comprehensive, quality health care that is affordable and accessible to all who may have healthcare needs, by successfully performing the primary essential functions.

Essential Job Functions:
• Performs administrative, technical, and fiscal duties, tasks, and assignments supporting Business Office operations within established periods; meeting established rates of performance for the quality and quantity of work for the position; demonstrating a level of quality, efficiency, and accuracy in the employee’s job performance that ensures the highest standards of excellence.
• Maintains at all times patient confidentiality by controlling the information being disclosed to authorized individuals ensuring compliance with all HIPAA and corporate compliance standards, as well as generally accepted confidentiality standards.
• Performs the specialized technical skills to complete all assigned coding processing duties, tasks, and responsibilities, in addition to working successfully with all organizational operating systems, and/or business software.
• Provides support and instruction to internal clients regarding financial reimbursement, evaluation of International Classification of Diseases (ICD) and/or Current Procedural Terminology (CPT) coding, supporting improvement in provider documentation, coding and other regulatory compliance for commercial and managed care payers; as well as reimbursement methodologies.
• Coordinates the work of designated Coding Assistants ensuring the quality and quantity of work-performed meets the established departmental and organizational standards through regular audits.
• Demonstrates an understanding of and proficiency with the application of all Joint Commission Accreditation standards and reporting requirements applicable to a Certified Professional Coder.
• Communicates and coordinates successfully with providers and other internal clients regarding coding documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation.
• Embraces and supports a professional working environment based upon an understanding and respect for diversity and multi-culture in all its forms; demonstrates sensitivity, acknowledges varied beliefs, attitudes, behaviors, and customs; and encourages communication and appreciation of all forms of diversity.
• Demonstrates an exceptional level of customer service; answering and responding to all incoming calls, emails, and inquiries in a timely and effective manner, responds to requests for support providing general information in response to inquiries; referring technical inquiries or complaints to the appropriate department member for resolution.
• Communicates effectively through written, verbal, and interpersonal skills as applied when interacting with employees, internal/external clients or representatives, or patients, successfully conveying and exchanging information in a positive and effective manner.
• In support of the Mission and Vision of El Rio Community Health Center, when associated with and/or identifiable as an employee of El Rio Community Health Center employees will at all times represent themselves as a professional role model of El Rio, serving as a positive informational resource for