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Certified Medical Coder in Albuquerque, NM at Compassus

Date Posted: 5/9/2019

Job Snapshot

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Job Description

Current Compassus Colleagues: Please apply via Workday.


The Certified Medical Coder is responsible for modeling the 3 Company values of Compassion, Integrity, and Excellence, and for promoting the Compassus philosophy, using the 6 Pillars of success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the Program, between the Program and other Company departments, and between the Program and all external stakeholders. The Home Care certified Medical Coder is accountable for the planning, coordination, and management of coding for multiple offices, as well as related operational activities of the Program in accordance with Home Care policy and procedure, including but not limited to, Medical coding for reimbursement and administrative quality improvement. S/he is responsible for applying the rules and regulations of state and federal regulatory agencies and other certified agencies.

Principal Accountabilities

  • Supports agency and corporate policies, goals and objectives.
  • Promotes a positive working relationship between agency and corporate personal.
  • Communicates effectively with staff, members of IDT, patients, families, and the community.
  • Identifies needs and offers potential solutions to supervisor.
  • Performs coding
  • Must have experience in Home Care coding and experience in the below:
    • Medical coding in a Home Care setting.
    • Must possess proficient computer skills (CareVoyant, MS word, Excel, ICD-10 CM, CPT-4, Encoder)
    • Knowledge of coding guidelines.
    • Payor guidelines, federal billing guidelines
    • Knowledge of anatomy, physiology and disease processes.
    • Ability to research coding related issues.
    • Competence in coder training.
    • Must have CCS and knowledgeable of different coding application.
    • Disseminate coding in an effective and timely manner to Director of Clinical Services.
  • Accounts Receivable
  • Assists in maintaining all Medical records to ensure full reimbursement
  • Assist with PPS cost analysis report to ensure proper coding
  • QAPI.
  • Monitors and reports on quality indicators.
  • Maintains documentation, gathers data, and generates reports related to Performance Improvement Projects.
  • Monitors and maintains master calendar of Program-specific activities required by regulatory agencies.
  • Assists Program in constant preparedness for regulatory review.
  • Educates staff.
  • Coding guidelines.
  • Proper documentation to support codes.
  • Perform other duties as assigned.

KNOWLEDGE AND SKILLS   To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Ability to read, write, and speak English fluently. Strong written and verbal communications.  Ability to document as required by regulations.
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
  • Ability to successfully write reports and business correspondence.
  • Ability to effectively present information and respond to questions from Leaders, Colleagues, patients and family members, and the general public.
  • Ability to define problems, understand and collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in a variety of forms and deal with several abstract and concrete variables.
  • Proficiency in Microsoft Office Suite.
  • Strong organizational and interpersonal skills.
  • Ability to maintain confidentiality of information, such as patient and Company files.

Education and/or Experience

High school diploma or general education degree; and/or training; or equivalent combination of education and experience. Must have CCS or CCP. Experience in Home Care coding. College preferred. Experience in insurance and Medicare/Medicaid billing and reimbursement preferred.

Other Qualifications

Demonstrated leadership skills with the ability to move into a people manager position in a relatively short period of time, if needed. Ability to handle stressful situations. Ability to multi-task in a fast-paced environment. Ability to work well with others. Approachable and an effective communicator.  Strong initiative and ability to work in a self-directed environment.

Certifications, Licenses and Registrations

Certified Coding Specialist or certified Coding Professional. A valid driver's license and auto liability insurance.

Other Skills and Abilities

Excellent communication skills. Strong organizational and planning skills. Must be of high integrity to maintain confidential information, including all personnel and patient records.  Must have reliable transportation.

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