Full job description Today's Date : May 10.2024
Job Listing : Insurance Coder, Ottumwa, Iowa
Summary: Codes all Medical, OBGYN, Peds, Dental and Behavioral Health charges
daily. Performs all defined services and other related duties in accordance with the
mission of River Hills Community Health Center. Certified Professional Coder (CPC),
Certified Coding Specialist for Physicians (CCS_P), or Registered Health Information
Tech (RHIT) required. If not certified, need the ability to become certified in the near
future.
Essential Functions:
1. Responsible for coding all Medical, OBGYN, Peds, Dental, Hospital and Behavioral
Health charges.
2. Ability to analyze and interpret patient medical records to identify billable services.
3. Interacts with Providers regarding billing and documentation policies, procedures
and regulations.
4. Provides customer service to internal and external customers.
5. Verifies insurance coverage.
6. Research information related to payer benefits, provider questions, management
questions or to obtain clarification of conflicting or non-specific documentation.
7. Works with lab to provide diagnosis codes for billing.
8. Handles confidential information with tact and discretion on a need-to-know basis.
9. Works with providers and patients regarding fees reimbursement and denial
questions.
10. Works with providers to correct coding issues with super bills.
11. Works closely with the billing staff to resolve any reimbursement issues with
insurance companies.
12. Reconciles Super bills monthly.
13. Supports a service-orientated atmosphere in accordance with RHCHC Mission and
Philosophy.
14. Reconciles the lab bill with the billing system to ensure all charges have been
captured.
15. Follows policies and procedures.
16. Develops and maintains own competence.
17. Maintains a safe working environment and practices safe working habits. Accurately
assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnoses and
procedures.
18. Assures final diagnoses and procedures as documented by the provider are valid
and complete.
19. Analyzes provider documentation to assure the appropriate Evaluation and
Management (E&M) levels are assigned using the correct CPT.
20. Abstracts all necessary information from health records to identify secondary and co-
morbid conditions.
21. Educates clinical staff regarding appropriate coding and or medical record
documentation requirements.
22. Audits medical records and charges to ensure compliance with coding standards.
23. Performs medical record audits when assigned.
24. Reports compliance issues pursuant to the organizational Compliance Program
requirements.
25. Updates job knowledge by participating in educational opportunities.
26. Complies with Corporate Compliance Program policies and code of conduct, and all
laws, rules and regulations relating to the position. Has a duty to report any
suspected violations of the law or the standards of conduct to his/her immediate
supervisor, the HR Director, or the Compliance Officer.
Qualifications:
Education High school diploma.
Experience Minimum of 1 year medical office experience.
Cognitive skills Basic-language, intermediate math, intermediate
(Language, Math, reasoning ability.
Reasoning Ability)
Computer skills 10-key calculator, personal computer
Other skills Ability to communicate clearly. Ability to perform
multiple tasks with frequent interruption. Ability to be
very detail oriented. Strong public relations/customer
service skills. Knowledge of medical terminology and
ICD-10 and CPT billing codes
Certificates & Certified Professional Coder (CPC), Certified Coding
Licenses Specialist for Physicians (CCS_P), or Registered Health
Information Tech (RHIT) required.
Work Environment None.
Hazards
Personal Protective None.
Equipment Required
Physical Demands 1. Requires hand dexterity required for office
Summary machine operation, stooping and bending to files
and supplies, mobility to complete errands, or
sitting for extended periods of time.
2. Requires visual acuity to perform required tasks
to include the ability to see and read PC screens
and communicate with a computer, whether it is
with a mouse and keyboard, voice recognition
software, or other available hardware/software
tools.
3. Required to be able to write legibly and read
printed or handwritten materials.
Hours: Generally Monday through Thursday nine hour days; Friday 8 a.m. to Noon.
reasonable flexible schedule negotiable.
Supervisor: Revenue Cycle Director.
Deadline : Position will remain open until a pool of qualified applicants is received.
Submit cover letter, resume' and three references to Steve Haigh, HR Director at
Or, mail to:
River Hills CHC
PO Box 458
Ottumwa, Iowa 52501
River Hills CHC offers a competitive wage and full benefit package.
