The #1 Site for Healthcare Jobs - search all Healthcare jobs.
M9g1216zgbdl21j16f4

Coder, Physician Services

Job Description

Clinch Valley Medical Center

We are seeking to hire a certified Coder in Physician Services who will be responsible for coding in-office and out-of-office encounters accurately in accordance with CMS guidelines. They will be responsible for processing and tracking insurance claims from the beginning of the claim at charge entry to the end of the claim at zero balance.  They will also be responsible for appling the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.

Essential Functions:

1. Coding encounters for all physician and mid-level providers accurately in accordance with CMS guidelines.
2. Researching all information needed to complete the billing process, including getting chart information from physicians.
3. Keying charge information into entry program to produce billing.
4. Processing primary and secondary insurance and disability claims in a timely manner.
5. Tracking submitted claims daily, ensuring that all were received by the insurance carriers.
6. Working electronic insurance rejects daily in order to retransmit with corrected information.
7. Tracking claim statuses and denials.
8. Trouble-shooting claim denials and resubmitting claims in accordance with each insurance carrier’s policy.
9. Recording daily productivity on Excel spreadsheet as assigned.
10. Preparing insurance forms and associated correspondences.
11. Training other staff in proper billing/posting procedures.
12. Working with other staff to follow up on accounts until zero balance.
13. Assisting in error resolution.
14. Following SOX controls and Revenue Cycle Guidelines.
15. Maintaining strict confidentiality related to medical records and other data.
16. Practicing and adhering to the “Code of Conduct” philosophy and “Mission and Value Statement.”
17. Attending all required billing education classes.
18. Other duties as assigned.

Required Skills:

1. Knowledge and understanding of organizational policies and procedures.
2. Knowledge and understanding of insurance company policies regarding claim submission
3. Knowledge of current ICD-10, CPT and HCPCS codes.
4. Knowledge of 1995 and 1997 Guidelines for E/M coding.
5. Knowledge and understanding of CCI and NCCI edits.
6. Knowledge of medical terminology and insurance practices.
7. Knowledge of computer programs and applications (e.g. Excel).
8. Knowledge of business office procedures.
9. Knowledge of proper grammar, spelling and punctuation.
10. Skill in gathering, interpreting and reporting insurance information.
11. Skill in trouble-shooting insurance problems and claims.
12. Skill in written and verbal communication.
13. Ability to identify claim problems and recommend solutions.
14. Ability to sort and file insurance forms and associated information.
15. Ability to perform basic mathematical calculations, balance and reconcile figures.
16. Ability to work effectively with patients, employees and the public.

Job Requirements

Education: High School Diploma required. Associate's Degree strongly preferred.

Experience: Six (6) months of hospital and/or physician practices coding experience strongly preferred.

Certifications: CPC or AHIMA certification is required. CPC is strongly preferred.


LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.

Job Snapshot

Location US-VA-Richlands
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type Health Care
Apply

Company Overview

Clinch Valley Medical Center

Having served this region since 1938, Clinch Valley Medical Center (CVMC) is a 200-bed facility and the largest acute-care hospital in far southwest Virginia. The hospital’s medical staff represents 33 medical specialties. Clinch Valley Medical Center is a leader in offering the latest medical technology, including PET/CT fusion scanning. CVMC was among the first healthcare facilities in the world to offer image-guided radiation therapy (IG-IMRT) as part of its Cancer Treatment Center. The hospital was the first in the region to use bar-code technology to enhance patient safety, and it is repeatedly ranked as one of the nation’s top hospitals for treatment of chronic obstructive pulmonary disease (COPD). In addition to PET/CT scanning, which fuses two technologies for remarkable clarity, CVMC’s advanced diagnostics include MRI, CT, Nuclear Medicine, a two-bed Sleep Studies lab and an accredited 24-hour Laboratory. Learn More

Contact Information

US-VA-Richlands
Snapshot
Clinch Valley Medical Center
Company:
US-VA-Richlands
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Health Care
Store Type:

Job Description

Clinch Valley Medical Center

We are seeking to hire a certified Coder in Physician Services who will be responsible for coding in-office and out-of-office encounters accurately in accordance with CMS guidelines. They will be responsible for processing and tracking insurance claims from the beginning of the claim at charge entry to the end of the claim at zero balance.  They will also be responsible for appling the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.

Essential Functions:

1. Coding encounters for all physician and mid-level providers accurately in accordance with CMS guidelines.
2. Researching all information needed to complete the billing process, including getting chart information from physicians.
3. Keying charge information into entry program to produce billing.
4. Processing primary and secondary insurance and disability claims in a timely manner.
5. Tracking submitted claims daily, ensuring that all were received by the insurance carriers.
6. Working electronic insurance rejects daily in order to retransmit with corrected information.
7. Tracking claim statuses and denials.
8. Trouble-shooting claim denials and resubmitting claims in accordance with each insurance carrier’s policy.
9. Recording daily productivity on Excel spreadsheet as assigned.
10. Preparing insurance forms and associated correspondences.
11. Training other staff in proper billing/posting procedures.
12. Working with other staff to follow up on accounts until zero balance.
13. Assisting in error resolution.
14. Following SOX controls and Revenue Cycle Guidelines.
15. Maintaining strict confidentiality related to medical records and other data.
16. Practicing and adhering to the “Code of Conduct” philosophy and “Mission and Value Statement.”
17. Attending all required billing education classes.
18. Other duties as assigned.

Required Skills:

1. Knowledge and understanding of organizational policies and procedures.
2. Knowledge and understanding of insurance company policies regarding claim submission
3. Knowledge of current ICD-10, CPT and HCPCS codes.
4. Knowledge of 1995 and 1997 Guidelines for E/M coding.
5. Knowledge and understanding of CCI and NCCI edits.
6. Knowledge of medical terminology and insurance practices.
7. Knowledge of computer programs and applications (e.g. Excel).
8. Knowledge of business office procedures.
9. Knowledge of proper grammar, spelling and punctuation.
10. Skill in gathering, interpreting and reporting insurance information.
11. Skill in trouble-shooting insurance problems and claims.
12. Skill in written and verbal communication.
13. Ability to identify claim problems and recommend solutions.
14. Ability to sort and file insurance forms and associated information.
15. Ability to perform basic mathematical calculations, balance and reconcile figures.
16. Ability to work effectively with patients, employees and the public.

Job Requirements

Education: High School Diploma required. Associate's Degree strongly preferred.

Experience: Six (6) months of hospital and/or physician practices coding experience strongly preferred.

Certifications: CPC or AHIMA certification is required. CPC is strongly preferred.


LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.
MiracleWorkers Advice

For your privacy and protection, when applying to a job online: Never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction.Learn More

By applying to a job using miracleworkers.com you are agreeing to comply with and be subject to the workinretail.com Terms and Conditions for use of our website. To use our website, you must agree with theTerms & Conditionsand both meet and comply with their provisions.
Coder, Physician Services Apply now