Coder II
Coder II
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job 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 MidRio Grande Valley of central New Mexico. Today we operate seven 7 Community Health Centers and one 1 schoolbased 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 opendoor policy providing treatment regardless of an individuals income or insurance coverage. As a nonprofit 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 communitycentered 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)
- 1020 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
A. POSITION SUMMARY
Supervised by the Medical Behavioral Health Coding and Compliance Auditor this position will support and provide coding and compliance expertise to the Central Billing team and ensure accurate and ethical coding of claims.
B. ESSENTAIL DUTIES AND RESPONSIBILITIES
Review provider records and charges identified by the billers to ensure compliance with coding and documentation standards.
Maintain the unbilled report ensuring Provider notes are completed and signed in accordance with FCCH policy timelines.
Educate staff regarding appropriate coding and/or documentation inclusive of updates over time;
Conduct appropriate chart reviews and analyze for over/under coding patterns and appropriate revenue enhancement opportunities.
Assist with maintenance of the service code master and/or applicable system templates with respect to codes descriptions documentation and/or other updates.
Participate in special audits as assigned;
Work as a team member with all applicable staff members and offices;
Perform other duties as assigned.
A. MINIMUM EDUCATION AND EXPERIENCE
High school diploma or equivalent and CPC certification or equivalent required;
Minimum of two 2 years in healthcare training and medical service coding experience;
B. KNOWLEDGE SKILLS AND ABILITIES REQIRED
Medical terminology;
Tenkey 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 ICD10 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.
Employment Type
Full-Time
