Medical Coder

GENERAL DESCRIPTION:

This position is located at the AST Li-Si-Wi-Nwi Clinic in Little Axe, Oklahoma within the Business Operations department. The Li-Si-Wi-Nwi clinic is a new facility that serves Absentee Shawnee Tribal members as well as other Native American and Non-native American patients. The purpose of this position is to abstract and code patient’s medical record, according to state and federal rules and regulations that will help process third party billing.

RESPONSIBILITIES:

• Performs coding validation to ensure that the diagnoses/procedures submitted on the claim are supported by the clinical record documentation and appropriate billing by contact.

• Accurately assign codes to all claims following the standards of ethical coding, developed by AHIMA and in accordance with the ICD-9-CM coding conventions.

• Audit provider-assigned codes in electronic health records.

• Analyze, code, retrieves, and compiles data from patient record.

• Participates in organization-wide quality improvement initiatives as requested.

• Verifies all patient data in Prometheus/AllScripts to help ensure accuracy of information.

• Safeguards confidentiality of the medical charts/records and complies with all local, state, and federal laws pertaining to medical records. Assures compliance with all HIPAA regulations concerning use, retrieval, storage, and sharing of medical records.

• Other duties as assigned.

QUALIFICATIONS:

• High School Diploma or equivalent. Associates degree or equivalent with 2-4 years of experience in medical records and/or medical data entry. BA in related field, Health Information Administration, preferred. Three years in a fast paced medical office setting, preferred.

• Requires CPC-certified professional coder. Documented training, supervision and experience in maintenance of medical records and ICD-9-CM/DRG coding.

• A working knowledge of medical terminology and physiology and legal aspects of health information.

• Knowledge of accreditation standards and compliance requirements.

• Must have knowledge of or experience in working with third party resources such as Medicare, Medicaid and Private Insurance, Contract Health or Coordination of Benefits, medical records, reception and patient registration.

• Must be reliable, detailed oriented, capable of multi-tasking with excellent written and verbal communication skills as well as strong professional customer- service interpersonal skills.

• Computer literacy required (Windows operating systems – Microsoft Word, Excel).

• Must be able to pass a background check and drug screen.