Job Description

THIS IS NOT A REMOTE POSITION

We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate reimbursement for healthcare claims. This person will also be responsible for analyzing, abstracting, compiling data, and generating reports. This position must provide customer service excellence when dealing with internal and external contacts.

Duties include but are not limited to:

• Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
• Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place before submission.
• Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims
• Adhere to coding policies and procedures consistent with the industry-standard guidelines for CPT, ICD-9 and ICD-10.
• Answer coding questions
• Review clinical documentation to ensure it meets the level of CPT codes and ICD-10 codes

• Assemble and analyze medical charts to meet department accuracy and productivity requirements.
• Follows established protocol for assembling charts.
• Revise and/or update forms and policies, and ensure permanent location and security of data (PHI).
• Manages daily workload and consistently finishes daily.
• Ensures that Outpatient charts are received daily.
• Runs missing chart report and notifies appropriate personnel.
• Follows through and investigates missing charts.
• Clarify documentation with the Physician and Director as needed.
• Completes reports and logs as needed.
• Periodically covers the duties of receptionist.
• Provides backup clerical support to various departments.
• Researches, prioritizes, and follows up on incoming issues and concerns, including those of a sensitive or confidential nature.
• Determines appropriate course of action, referral, or response.
• Handle requests for information and data: reports as requested.
• Respond to and resolve problems and inquiries.
• General clerical duties including photocopying, fax, mailing, filing(electronic and paper), sorting and distributing correspondence, preparing and modifying documents including correspondence, reports, drafts, memos, and emails

• Performs related duties, as requested.
• Upholds the Organization's ethics and customer service standards.

Requirements

• Education: Certificate or associate's degree in medical coding/CPC. These additional certifications are not required but a plus: Certified Professional Coder (CPC), CPC-Hospital, CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA)
• Experience: A minimum of 1 year coding experience required preferably with psychiatric services
• Knowledge, Skills & Abilities:
  • Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and physiology; computer data entry; and medical law, privacy and ethics.
  • Knowledge of CMS rules and regulations and current coding resources
  • Knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding and healthcare reimbursement methods.
  • Critical thinking skills and ability to resolve complex coding issues
  • Knowledge of mathematical computations using addition, subtraction, multiplication, division, percentages in order to perform personnel/payroll assignment. Ability to integrate multiple facts, statistics, and/or mathematical values when solving mathematical equations.
  • Ability to accurately enter data, prepare and maintain records, files, and reports.
  • Outstanding skills in giving attention to details with display of dexterity in maintaining confidentiality
  • Must have advanced PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word and Excel as well as ability to use financial software and payroll systems (Kronos a plus).
  • Communicate effectively with a variety of individuals and function calmly in situations, which require a high degree of sensitivity, tact, and diplomacy.
  • Ability to exercise appropriate judgment in answering questions and releasing information; analyze and project consequences of decisions and/or recommendations.
    
    
  • Skill to research and analyze various personnel/payroll matters to recommend alternative actions and/or take an appropriate course of action.
  • Skill to independently interpret reference materials to comply with law, rules, regulations, policies, procedures, etc.
  • Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines.
  • Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities.
• Screening: Must successfully pass background check, drug screen, physical and be able to provide positive employment references.
• Physical Demands: With or without reasonable accommodations,must be able to stoop, kneel, lift moving about in work area and throughout organization to accomplish task. Typing, data entry (finger dexterity) and ability to hold hands steady on keyboard when typing. Sit at extended period of time with erect posture. Reading forms/computer screens; express or exchange ideas orally and potentially loudly, accurately, or quickly; visually detect, determine, perceive, identify, recognize, judge, observe, inspect, assess; perceive the nature of sound with or without correction; perform repetitive motions of the wrist, hands, or fingers. Light work most of the time, exerting up to 10 pounds of force frequently.

This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the hospital.

If you are among the most competitive and qualified candidates for the job, you will be contacted directly by one of our hiring managers. Due to the high volume of applications we receive, we are unable to respond to individual inquiries regarding your application status. Good Luck & we hope to meet you soon!

Dallas Behavioral Healthcare Hospital is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Benefits

Full-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.

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