Physician Coder I

  • Citizens Memorial Hospital
  • Victoria, TX
  • Sep 23, 2022
Healthcare IT Physician & Surgeon

Job Description

Citizens Medical Center is a not-for-profit, community hospital known for compassionate patient care, clinical expertise, and bringing advanced medical services to the South Texas region since 1956. Today, Citizens is a 317-bed acute care hospital with over 1,200 employees. Voted “Best of the Best” hospital in Victoria for 12 consecutive years, Citizens Medical Center is a level III Trauma Center, currently renovating its 24/7 Emergency Department that includes an onsite medical helicopter. Citizens has a comprehensive Community Cancer Program that includes two linear accelerators and HDR brachytherapy. Citizens is recognized for its outstanding cardiology program which includes a nationally accredited Chest Pain Center and is a Primary Stroke Center. Citizens also includes a comprehensive, accredited Bariatric Surgery program, Birth Center with labor and delivery, an imaging and surgery center, sleep study center, state-of-the-art rehabilitation and fitness center, urology center and daVinci robotics minimally invasive surgery options, a home health agency, and has a long history of providing continuing education for healthcare providers and the community. As a condition of employment, Citizens Medical Center requires all new hires to be fully vaccinated for COVID-19, unless there is an approved exemption. New hires will be required to show proof of vaccination status and have at least one dose of the vaccine prior to starting employment with the second dose scheduled within 30 days of first dose. Reasonable accommodations through an exemption process will be considered, and requests for exemption from the COVID-19 vaccination must be reviewed and approved prior to the new hire's first day. Citizens Medical Center is looking for employees who actively demonstrate service excellence by exemplifying our iCare values. If you are someone who displays respect and enthusiasm for patients, visitors, and coworkers while consistently upholding the hospital’s commitment to providing outstanding outcomes, service excellence, and fiscal responsibility, then you could be a good fit for the CMC team! BENEFIT OFFERINGS Health Medical, Dental, Vision STD, LTD Disability Supplemental Life, AD&D Flexible Spending (FSA) Employer paid life insurance and short term disability Retirement/Investment Defined Benefit Pension Plan 457(b) Deferred Compensation Well-Being Benefits Paid Time Off Sick leave, Bereavement leave, Jury Duty/Witness Service Tuition Reimbursement Hospital-paid & administered annual immunizations HealthPlex (gym) membership discount YMCA partnership discount for childcare Employee Assistance Programs JOB SUMMARY Performs evaluation/management and procedural coding for clinic, inpatient, and outpatient encounters.   Assigns and sequences all codes for services rendered.  Collaborates with coders, billers, clinical staff, managers, and healthcare professionals to ensure accurate coding assignment and to resolve any coding-related claim denials. JOB DUTIES AND RESPONSIBILITIES Job Specific: Coding Duties Assigns codes to diagnoses, procedures, and office visits, using correct CPT®, HCPCS Level II, and ICD-10-CM codes. Ensures that assigned codes are accurate and sequenced correctly in accordance with coding guidelines, as well as insurance and government regulations. Examines patient medical record to ensure coding accurately reflects patient’s medical care. Demonstrates continued improvement on coding reviews and audits. Submits and documents provider queries in a compliant and timely manner. Create new patient accounts, enter demographic and insurance details, and verify insurance eligibility as necessary to post charges. Posts surgical and clinic-generated charges. Teamwork & Communication Communicate with outside providers or hospital affiliations to obtain information needed to code services per coding and carrier guidelines. Communicate with physicians and managers of any problems arising from incorrect, incomplete coding or documentation. Maintain a close working relationship with physicians, advanced practice providers, and the billing department, in regards to coding and billing. Plan and participate in coding and billing meetings with managers, administrators, advanced practices providers, and physicians. Education Once obtained, maintain professional certifications as required by the certifying organization. Maintain up-to-date coding manuals (CPT®, HCPCS Level II, and ICD-10-CM). Remain current with most recent revisions of coding standards and federal regulations to comply with all legal requirements regarding coding procedures and practices. Actively participate in all required in-service education. Hospital: Adheres to organization-wide and other applicable policies and procedures. Day-to-day performance complies with the hospital’s Service Excellence Behavioral Expectations. Performs within the prescribed limits of the hospital’s Ethics, Compliance and Confidentiality Program guidelines. Performs within his/her professional Scope of Practice at all times. Other Duties As Assigned: Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Minimum Requirements  EDUCATIONAL REQUIREMENTS Required:  High School diploma or equivalent.  Actively enrolled in, with at least 50% completion, of an approved medical coding program. Knowledge of anatomy and terminology. Preferred:  Successful completion of an approved medical coding program. Associates degree in a healthcare related field. Knowledge of pathophysiology and basic pharmacology. EXPERIENCE Required:  None Preferred:  One year of medical coding or billing experience in a physician setting. Special Skills and Abilities: Required:  Able to work in a collaborative, team environment with coders, billers, clinical staff, managers, and providers Good mathematical skills Good typing and 10-key speed and accuracy Good verbal and written communication skills Basic proficiency in Microsoft Office (Word, Excel, and PowerPoint) Preferred: Intermediate proficiency in Microsoft Office (Word, Excel, and PowerPoint). LICENSURE / CERTIFICATION REQUIREMENTS Required:  Actively enrolled in a medical coding program and must obtain CPC-A or CCA within one year of hire.              Preferred: Certified Professional Coder (CPC-A or CCA)

Qualifications

Required:  High School diploma or equivalent.  Actively enrolled in, with at least 50% completion, of an approved medical coding program. Knowledge of anatomy and terminology. Preferred:  Successful completion of an approved medical coding program. Associates degree in a healthcare related field. Knowledge of pathophysiology and basic pharmacology. EXPERIENCE Required:  None Preferred:  One year of medical coding or billing experience in a physician setting. Special Skills and Abilities: Required:  Able to work in a collaborative, team environment with coders, billers, clinical staff, managers, and providers Good mathematical skills Good typing and 10-key speed and accuracy Good verbal and written communication skills Basic proficiency in Microsoft Office (Word, Excel, and PowerPoint) Preferred: Intermediate proficiency in Microsoft Office (Word, Excel, and PowerPoint). LICENSURE / CERTIFICATION REQUIREMENTS Required:  Actively enrolled in a medical coding program and must obtain CPC-A or CCA within one year of hire.              Preferred: Certified Professional Coder (CPC-A or CCA)