Certified Coder

Our Mission: To improve the health and well-being of the communities we serve demonstrating compassionate, patient-centered care.SummaryResponsible for compiling, processing and maintaining patients’ records in a hospital setting to support the daily business activities. Maintains the ability to work with Electronic Health Records ensuring all regulatory requirements of the Health System are followed in coding and charging practices.Essential Duties and ResponsibilitiesThis description intends to describe the general nature and level of work performed by employees assigned to this job. It is not intended to include all duties, responsibilities and qualifications. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Prepares charts for scanning and scans charts into the electronic medical record system, forwarding documentation to providers as needed.Provides clerical support to HIM staff in relation to filing and retrieval of medical records. Assists in other department functions as assigned, such as photocopying, faxing, typing, and any other departmental task as requested by the HIM Manager. Assist in keeping provider credential files current and in compliance with Nebraska licensure laws.Maintains patient medical records, maintains storage, and tracks incoming records.Responds to requests for copies of protected health information in accordance with HIPAA privacy regulations. This includes the ability to analyze authorizations for HIPAA compliance and a working knowledge of what medium to release records on. Review medical records for completeness. This includes ensuring all necessary documentation is completed and all required fields have been signed. Electronic deficiencies are applied when necessary and monitors deficiencies and notifies providers and specialists if they have outstanding deficiencies.Collects and enters data into the Vital Records system in order to complete birth certificates.Assembles information concerning patient’s clinical background and presents appropriate and necessary information to payors to obtain authorizations for services ordered that require prior authorization and completes authorizations in a timely manner.Works closely with providers, coders, and billers to ensure accurate procedure and diagnosis codes are being utilized in the pre-authorization process. Ensures accurate and timely processing of all insurance claims and follows up on all prior authorization rejections.Responsible for queries, data consolidation, data analysis and management reporting utilizing software to generate metrics and develops actionable recommendations. Supports all areas of the hospital and clinic by collecting, analyzing data and reporting results.Follows all HIPAA guidelines and promotes and ensures patient safety.Fulfills mission statement by performing job duties with a high level of customer service while contributing to a positive and professional environment.Special projects and other duties as assigned.Supervisory ResponsibilitiesNo supervisory responsibilitiesEducation and/or ExperienceHigh School Diploma or equivalent. Ability to examine documents for accuracy. Computer experience in a healthcare setting and medical terminology knowledge required.Licensure/CertificationNebraska NotaryBasic Life Support (CPR)Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this Job, the employee is regularly required to sit; use hands and fingers to handle or feel and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.Work EnvironmentWhile performing the duties of this job, the employee regularly works in an office and patient care environment. The noise level in the office environment is usually moderate.Equal Employment OpportunityCozad Community Health System is committed to hiring and developing the most qualified employees from the available workforce in the communities we serve.Equal employment opportunity has been, and will continue to be, a fundamental principle at Cozad Community Health System, where employment is based upon personal capabilities and qualifications without discrimination and retaliation because of veteran status, uniformed service member status, race, color, national origin or ancestry, creed, religion, sex, sexual orientation, gender identity or expression, age, pregnancy (including childbirth, lactation, and related medical conditions), national origin or ancestry, physical or mental disability, genetic information (including characteristics and testing), or any other protected characteristic as established by applicable local, state, or federal law. #J-18808-Ljbffr Priority Dispatch Corp.