The Family Medicine Coder is responsible for reviewing clinical documentation and assigning correct coding for professional charges. They also ensure compliance with federal and state laws and coordinate billing information.
Requirements summary
Candidates must have a high school diploma or GED and at least two years of coding experience with certification from AAPC or AHIMA. Knowledge of coding guidelines and experience with EMR systems are preferred.
high schoolprofessional certificateTeamworkDocumentation ReviewCommunication SkillsProblem SolvingData AnalysisMedical BillingAttention to DetailCompliance MonitoringHCPCS CodingCPT CodingEPICHealthcare RegulationsICD-10-CM CodingCoding CertificationTraining and MentoringCoding Procedures
Job description
Department Overview This level 2 coding position provides support to the Enterprise Coding Department for coding of physician’s fees and/or facility fees.
This position requires experience in coding and requires certification with AAPC or AHIMA.
Function/Duties of Position Coding Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS).
Assign correct CPT, ICD-10-CM, and HCPCS codes for professional charges, which could include all E&M services including outpatient and inpatient; diagnostic services; procedural services; and/or Charge Routers and Charge entry.
Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in facility and/or professional services at OHSU.
Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
Coordinate all billing information and ensure that all information is complete and accurate.
Ability to maintain supportive and open communication with coding supervisor and team leads regarding coding issues and priority coding responsibilities assigned.
Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support, orientate, and mentor coding staff as necessary.
Department Support Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
Attends coding meetings and seminars and shares knowledge with other coders.
Participates in EC Huddles.
In collaboration with Enterprise Coding Leadership, develop and disseminate written procedures to facilitate and improve biling and documentation processes.
In collaboration with Leadership, make recommendations and implement remedial actions for problems Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in CPT, ICD-10-CM,and HCPCS Participate in Enterprise Coding education sessions, Kaizen events, maintain CEUs, stay informed of current trends in coding.
Benefits
Employee Assistance Program
Life Insurance
Paid Holidays
Sick Leave
Vacation
Tuition Reimbursement
Employee Discounts
Healthcare
Childcare Discounts
Pension Plans
Transportation Discounts
Other duties as assigned Required Qualifications High School diploma or GED.
Minimum two years of hospital or professional services (dependent on position) experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding.
Coding certification from AAPC or AHIMA: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
Active AHIMA membership may be required for some positions.
Certified Professional Coder (CPC) through the American Academy of Professional Coders; OR equivalent certification.
Preferred Qualifications
Accredited Coding Program required: AAPC Boot Camp, AHIMA Coding Boot Camp. Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines, NCD and LCD requirements. Experience using an EMR. Some college course work or education in classes related to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding. Knowledge of CPT Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines. Experience using EPIC, 3M encoder Knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and Mandates. Proficiency with word processing and Excel spreadsheets. Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc. Ability to work as a team player. Must be able to pass internal coding test. Additional Details Days of work are variable, could include rotating weekend days. This position is a telecommuting positon. Department Core hours are: Monday - Friday, 5:00am -10:00pm (with some flexibility available). Regularly scheduled work hours are required and are allowed within the Core Hours.
Benefits
Healthcare for full-time employees covered 100% and 88% for dependents. $50K of term life insurance provided at no cost to the employee. Two separate above market pension plans to choose from. Vacation - up to 200 hours per year dependent on length of service. Sick Leave - up to 96 hours per year. 9 paid holidays per year. Substantial Tri-Met and C-Tran discounts. Employee Assistance Program. Childcare service discounts. Tuition reimbursement. Employee discounts to local and major businesses. Why apply to OHSU? We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu
