Coder II

Description

For more than 50 years, First Choice Community Healthcare has provided access to high quality primary medical, dental, and behavioral healthcare to the underserved populations of the Mid-Rio Grande Valley of central New Mexico. Today, we operate seven (7) Community Health Centers and one (1) school-based clinic. We are currently recruiting for a Coder II to join our team and assist in fulfilling our organizations mission, which is to improve the health, life skills and wellbeing of all members of the communities we serve. Our health centers maintain an open-door policy, providing treatment regardless of an individual’s income or insurance coverage. As a non-profit organization, First Choice is a vital community resource in Central New Mexico. Not only does our organization provide the highest quality, comprehensive medical services, but we also address our patients’ emotional, social, and cultural needs.

In addition to serving a community-centered organization we offer an excellent benefits package to include:

Benefits Offered

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Flexible Spending Account
• Employee Assistance Program
• Aflac
• Life and AD&D Insurance
• Voluntary Life Insurance
• Identity Theft
• Retirement Savings -403(b)
• 10-20 days per service year (based on length of service)
• Sick Leave 64 hours per year (unused rolls over each year into Long Term Sick Leave)
• Long Term Sick Leave 40 hours per year
• 10 Paid holidays per year
• 40 hours of Educational Leave per year for full time employees
• $700 per year for tuition reimbursement
  
  

Essential Duties And Responsibilities

• Perform daily audits on each team member as assigned; to include 25% of each team members monthly work volume.
• Track staff performance utilizing excel and compute accuracy rate for employee performace evaluations.
• Utilize coding expertise to uncover charge posting inaccuracies and enhance accurate and timely billing of claims.
• Follow up on tricore lab invoices; checking provider documentation to determine if a compliant diagnosis are available.
• Review Provider notes for accurate charge capture.
  
  

Requirements

MINIMUM EDUCATION AND EXPERIENCE

• High school diploma or equivalent and CPC certification or equivalent required.
• Medical Coding and Billing certificate preferred.
• Minimum of one (1) year in healthcare and medical service coding.
• Demonstrable functional knowledge of Microsoft Office applications, including Word, Outlook, and Excel.
  
  

Knowledge, Skills, And Abilities Required

• Medical terminology;
• Ten-key and keyboarding skills;
• Strong organizational and interpersonal skills including the ability to deliver difficult information positively;
• Extensive knowledge of PC applications including Excel and Word;
• Knowledge of RBRVS and insurance (i.e. Medicare, Medicaid & FQHC) reimbursement regulations;
• Ability to establish rapport and trust in dealing with providers and staff regarding coding issues;
• Demonstrated functional knowledge of CPT, ICD–10, DSM, and HCPCs coding, and ability to maintain current knowledge of changes in these areas;
• Knowledge of and familiarity with compliance programs, and ability to cooperate fully and comply with laws and regulations;
  
  

PHYSICAL CHARACTERISTICS/WORKING CONDITIONS

A person in this position must be able to prioritize and respond to the demands of the position. There are frequent opportunities to relax from any physical exertion, change position in work activities, or break from computer application tasks.

• Physical Effort and Dexterity: Good dexterity to operate personal computer and office equipment. Occasional lifting and carrying related to office duties.
• Machines, Tools, Equipment required to be operated: Capable of using office machines and personal computers for various computer assisted applications.
• Visual Acuity, Hearing, and Speaking: Must be able to read a computer monitor and outputs accurately. Must be able to communicate clearly and accurately for work and safety compliance.
• Environment/Working Conditions: Work is mostly inside an office in a controlled environment. Normal office safety precautions and practices are required.
  
  

This description lists the major duties and requirements of the job and is not all-inclusive. Applicants may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills.