Coder II at Primary Health Care Inc

Des Moines, Iowa, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Feb, 26

Salary

28.32

Posted On

22 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

ICD-10-CM, CPT, HCPCS, Medical Records Review, Claim Denial Analysis, Documentation Feedback, Communication Skills, Mathematical Skills, Problem Solving, Organizational Skills, Detail Oriented, Teamwork, Analytical Skills, Critical Thinking, Health Information Management, Coding Compliance

Industry

Hospitals and Health Care

Description

Are you looking for an opportunity to do amazing work helping others? You've come to the right place. Let's make a difference! Primary Health Care (PHC) was founded in 1981 by Dr. Bery Engebretsen in Des Moines, IA. Our mission has remained unchanged since that time, to provide healthcare and supportive services to all, regardless of insurance, immigration status, or ability to pay. Based on the needs of the communities we serve, PHC offers a spectrum of medical and dental services including family practice, behavioral health, HIV care and services, and pharmacy. PHC’s Homeless Support Services is the entry point for serving people experiencing homelessness in Polk County. Enabling services are available to help patients with benefits enrollment, case management, transportation, translation, and patient education. We currently have locations in Ames, Des Moines, & Marshalltown. ---------------------------------------- As a Coder II you will be responsible for reviewing and analyzing medical records for outpatient and inpatient hospital settings. Charge tickets to determine appropriate assignment of codes to reflect patient diagnoses and procedures. Analyzes claim denials; taking appropriate steps to correct the claim and to initiate changes in process. In coordination with the Medical Director, provides feedback to medical and ancillary staff regarding appropriate documentation and code assignment. Ensures compliance with all legal and procedural requirements. Demonstrates iCare values in daily work. WHAT YOU WILL DO 1. Reviews and analyzes medical records for outpatient and inpatient hospital settings and charge tickets to assign and sequence ICD-10-CM, CPT and HCPCS codes for services rendered. Monitors status of patient encounters for appropriate code assignment and works to expedite final billing. Complies with all legal requirements regarding coding procedures and practices. Maintains the timeliness of coding tickets as established by the Chief Financial Officer. 2. Communicates with and educates medical and ancillary staff, as necessary, concerning diagnoses and procedures noted in the medical record. Serves as a reference source to Coder I, medical and ancillary staff with regard to assigned coding systems. 3. Review visit and procedure notes to assign the correct CPT, HCPCS, and ICD-10-CM codes for inpatient/outpatient visits, OB deliveries, and minor procedures. Query the physician for clarification on appropriate code selection, abstract information from the medical record to code to the highest level of ICD-10-CM specificity. 4. Collaborates with billing to ensure all bills are satisfied in a timely manner. Assist the billing team with certain CPT, HCPCS and ICD 10 CM related denials. 5. Identifies opportunities to improve the claim process. Works with Coding Manager and Clinic Administrators to implement process improvements. 6. Perform other duties as assigned. Qualifications You Need to Bring * High School Diploma or equivalent combination of education and experience. * Minimum 3 years related experience * Experience and working knowledge of ICD-10-CM * Effectively use the ICD 10-CM, CPT and HCPCS reference books. * Proficiency in operating a computer and ability to learn and use computer applications. * Knowledge of third-party payers and associate regulations. * Effective verbal and written communication skills. * Outstanding mathematical skills * Problem solving and analysis skills * Organizational skills * Detail oriented with high degree of accuracy * Teamwork and collaboration skills. * Strong analytical and critical thinking skills. * Licenses & Certifications: Professional certification by the American Health Information Management Association. (AHIMA) or American Academy of Professional Coders (AAPC). PREFERRED QUALIFICATIONS * Associate’s degree in health information management. * Experience with ICD-10-CM and HCPCS/CPT coding for reimbursement. * Experience in the essential functions of the position. * Community Health Center Experience. We Take Care of Our People Your experience and skills determine your base pay. The hiring range for this position is typically $22.65-28.32 per hour. Candidates with extensive work experience related to this position may be considered for additional compensation up to the pay grade maximum of $33.98 per hour. PHC also offers a comprehensive benefits package, including: * Generous PTO accrual (equal to 4 weeks at end of 1st year) plus paid holidays * License/certification fee reimbursement * Paid time off for continuing education & continuing education reimbursement * Tuition reimbursement program * 401k with company match * Medical insurance - PHC Pays, on average, 80% of medical premiums for all plan types (employee, employee + family, etc.) * Dental insurance * Vision insurance * Life & disability insurance * Flexible spending & health savings accounts * Supplemental accident & critical illness insurance * Discounts on pet insurance Visit https://phciowa.org/careers [https://phciowa.org/careers] for a summary of PHC’s benefits. Join the PHC Community | PHC Talent Community [https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=1a81e9ec-0004-4bf2-aadc-f982de3a9509&ccId=19000101_000001⟨=en_US&selectedMenuKey=CurrentOpenings] | Facebook [https://www.facebook.com/primaryhealthcareiowa] | Instagram [https://www.instagram.com/phciowa/] | LinkedIn [https://www.linkedin.com/company/primary-health-care-iowa/mycompany/verification/] | TikTok [https://www.tiktok.com/@phciowa?_t=8Wy7yQMltsI&_r=1&fbclid=IwAR3eYN31kfbNlQj1vmHoMlkGwCN5oZkmlwmxOs1OSAGcM7pdbykWuiulBqs] | Twitter [https://twitter.com/PHCIowa] Monday - Friday, 8am - 5pm 40

Responsibilities

As a Coder II, you will review and analyze medical records for outpatient and inpatient hospital settings, assigning appropriate codes for diagnoses and procedures. You will also analyze claim denials and provide feedback to medical staff regarding documentation and code assignment.