Coder
Coder
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$ 21 - 30
1 Vacancy
Job Description
Location:
Worker Type:
RegularWork Shift:
Day Shift (United States of America)Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$21.25 $30.75Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief Overview
Responsible for the daily coding and billing operations of the clinics as assigned.
What you will do
- Assign appropriate codes using CPT ICD10 and HCPCs for all charges according to national and payor guidelines and physician direction.
- Work with physicians and clinic management staff to resolve coding and reimbursement issues and patient concerns.
- Communicate coding updates and changes to appropriate individuals.
- Coordinate and/or complete insurance appeals on denied claims due to coding issues.
- Assist in the design of charge documents for the clinic and maintain documents with the most current coding information.
- Ensure maximum third party reimbursement through financial planning familiarity with payor contracts and pursuit of appropriate reimbursement on all claims.
- Investigate and report on all current reimbursement developments on third party payor functions when unable to resolve them and their remittances.
- Review all insurance bulletins and refers information to other personnel as appropriate.
- Provide support to clinics during periods of increased workload periods of transition or on an as needed basis.
Essential Qualifications
The individual must be able to work the hours specified. To perform this job successfully an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others hear understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge skills and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions as long as the accommodations do not cause undue hardship to the employer.
Required Education License/Certification or Work Experience:
- Associates in Coding or Health Information Management OR 12 years relevant experience
- AHIMA Membership American Health Information Management Association (AHIMA) Upon Hire or
- Certified Coding Specialist (CCS) American Health Information Management Association (AHIMA) Upon Hire or
- Certified Professional Coder (CPC) American Academy of Professional Coders (AAPC) Upon Hire or
- Registered Health Information Tech (RHIT) American Health Information Management Association (AHIMA) Upon Hire
- 13 years Coding or patient account experience or outlined degree or certification.
Expectations and Standards
- Commitment to the daily application of Averas mission vision core values and social principles to serve patients their families and our community.
- Promote Averas values of compassion hospitality and stewardship.
- Uphold Averas standards of Communication Attitude Responsiveness and Engagement (CARE) with enthusiasm and sincerity.
- Maintain confidentiality.
- Work effectively in a team environment coordinating work flow with other team members and ensuring a productive and efficient environment.
- Comply with safety principles laws regulations and standards associated with but not limited to CMS The Joint Commission DHHS and OSHA if applicable.
Benefits You Need & Then Some
Avera is proud to offer a wide range of benefits to qualifying parttime and fulltime employees. We support you with opportunities to help live balanced healthy lives. Benefits are designed to meet needs of today and into the future.
PTO available day 1 for eligible hires.
Free health insurance options for fulltime single coverage on Avera High Deductible Health Plan
Up to 5 employer matching contribution for retirement
Career development guided by handson training and mentorship
Avera is an Equal Opportunity Employer Qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability Veteran Status or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application please callor send an email to .
Employment Type
Full-Time
