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Coding Specialist - Primary Care

Prairie Lakes Healthcare System

Watertown, SD | Full Time

$63k-83k (estimate)

2 Months Ago

Coding Specialist - Primary Care

$63k-83k (estimate)

Full Time 2 Months Ago

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Prairie Lakes Healthcare System is Hiring a Coding Specialist - Primary Care Near Watertown, SD

Coding Specialist - Primary Care

Workplace Details

Join our team and see why Prairie Lakes Healthcare System continues to be named a Top Rural and Community Hospital year after year. Be a part of our mission to make a positive difference in the health of the patients and communities we serve by delivering accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is an independent, non-profit rural healthcare system serving 10 counties in northeastern South Dakota and west-central Minnesota.

Job Summary

This full-time position assigns ICD-10-CM and CPT/HCPCS codes and releases medical records for billing purposes. Interacts with physicians regarding billing documentation policies and requirements. Maintains compliance with federal and state guidelines. This position will work at Prairie Lakes Brown Clinic.

Responsibilities include:

Abstracts pertinent information from patient records assigning ICD-10-CM or CPT codes.
Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
Key charges for professional fees Evaluation and Management levels for the office visits, emergency room visits, consults and H&P's.
Monitor NCD/LCD policies for medical necessity on outpatient and Podiatry surgical claims.
Assist with the creation of new service lines for CPT/HCPCs/APC and DRG reimbursement.
Keeps abreast of coding guidelines and reimbursement reporting requirements, bringing identified concerns to supervisor or department manager for resolution.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official guidelines.
Other duties may be assigned.

Benefits

Prairie Lakes Healthcare System offers comprehensive benefits for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health, dental, and vision insurance, life insurance, a 403(b)-retirement plan, and generous paid time off to maintain a healthy home-work balance.

Additional benefits for those qualifying include:

Flexible Spending Account
Roth IRA retirement plan
Employee Assistance Program for mental health
Education Loan Program
Community discounts including the Prairie Lakes Wellness Center

Qualifications

Associate's Degree or Bachelor's Degree in Health Information Management. RHIT/RHIA certification preferred. Coding experience or a strong training background in coding and reimbursement is preferred.

RHIT, RHIA, CCS, and/or CCS-P certification status preferred. Coding certification is preferred by the American Health Information Management Association.

Microsoft applications, 3M Encoder, applicable HER.

Knowledge of AHIMA coding guidelines. Encoder, LCD/NCD/LCA/NCA's, CCI edits.

Prairie Lakes Healthcare System has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Job Summary

JOB TYPE

Full Time

SALARY

$63k-83k (estimate)

POST DATE

07/12/2024

EXPIRATION DATE

09/12/2024

WEBSITE

prairielakes.com

HEADQUARTERS

WATERTOWN, SD

SIZE

25 - 50

FOUNDED

1986

REVENUE

<$5M

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About Prairie Lakes Healthcare System

Prairie Lakes Healthcare System is a leader in regional healthcare for northeastern South Dakota and western Minnesota. Caring for a ten-county service area of 90,000 people, the health professionals of Prairie Lakes are dedicated to excellence. That commitment has made Prairie Lakes one of the most innovative rural healthcare systems in the nation. Prairie Lakes has been a dynamic model for rural health, achieving consistently high scores for value and quality. We've served as a "show site" for patient care technology and diagnostic equipment, and we're unchallenged in our uncompromising care... for patients and their families. Healthcare is constantly changing, and we believe not only in keeping up with those changes, but keeping ahead of them. That's one of the reasons we offer a wide variety of healthcare services with advanced equipment. It's why we seek out the most skilled physicians and compassionate staff. It's because our commitment to quality healthcare is our first priority. It's what our patients deserve. More
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