Overview
*Person Memorial Hospital*
*Who We Are:*
At Person Memorial Hospital, we value people and strive to create an environment where individuals are recognized for who they are, not just what they can do. Our community facility boasts 68 beds and offers a range of specialties, including orthopedics, cardiology, general surgery, and emergency medicine. We also have a skilled nursing facility, imaging and laboratory services, and other subspecialty care options.
*Where We Are:*
Roxboro is north of the busy urban areas of Raleigh, Durham, and Chapel Hill. The town is known for its serene rural landscapes, pleasant climate, and warm small-town hospitality. Surrounded by beautiful hills, lush forests, and farmlands, Roxboro offers a relaxed lifestyle with excellent educational facilities, affordable tax rates, quality healthcare, and various recreational activities.
*Position Summary*
This on-site job position applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.
*Reports to:*Practice Manager
*Responsibilities of the Position*
* Assigns accurate ICD diagnosis codes, using compliant documentation.
* Assigns accurate CPT/HCPCS codes to records, using compliant documentation.
* Applies knowledge of Coding Guidelines to select the appropriate diagnosis code.
* Uses available research and reference tools to understand the disease process and diagnosis.
* Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous record documentation.
* Enhances coding knowledge and skills with continuing education activities as described in HIM.COD.003 policy and by reviewing pertinent literature.
* Review payments for accuracy from contracted payors.
* Reviews, evaluates, and verifies data to determine if it is complete, accurate, and/or meets designated criteria.
* Abstracts, edits, classifies, and/or codes data correctly to compile information into appropriate format.
* Performs data access, submission, and retrieval functions correctly and efficiently to run jobs and generate requested printouts.
* Analyzes results of reviews, audits, research, and related issues, and reports findings accurately and effectively in presentations or in writing.
* Verifies that keyed information is accurate, complete, and current and makes corrections as needed.
* Maintains data in computerized or manual systems by entering data appropriately, updating records, and accessing data efficiently.
* Maintains effective coordination of activities with others to accomplish work activities and departmental goals.
* Maintains contact with Hospital and/or outside agency personnel to obtain information and answer inquiries.
* Clearly, concisely, and patiently explains policies, procedures and other pertinent information regarding credit and collections to involved parties, so that understanding, and compliance are maximized. Advised patients of available payment methods, assessing, and recommending the most viable method based on individual circumstances.
* Promptly responds to patients’ needs relating to their accounts. Ensuring communications are reflective of the goals, objectives, and philosophy of the department.
* Reviews and process financial profiles for payment arrangements.
* Arranges deposits for self-pay patients, co-pay and deductibles for non-emergency and elective procedures.
* Following up with physician offices, patient and involved hospital departments.
* Possibility of processing all forms and necessary documents for filing accounts in small claims court.
* Follows all corporate compliance rules and regulations and HIPAA regulations.
* Keeps supervisor informed of all aspects of assigned responsibilities on an on-going basis, ensuring prompt notification in the event of problems or potential problems.
* Other tasks and duties as assigned.
*Minimum Education*
High school diploma or equivalent is required.
*Certifications/Licenses*
Certified Medical Coder is required.
*Required Skills*
* critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Good customer service skills; excellentoral and written communication skills.
* Must have thorough understanding of ICD-10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic; HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines; Medicare Outpatient Prospective Payment System (OPPS), and Ambulatory Payment Classification (APC).
* Has knowledge of and abides by HIM.COD policies.
*Minimum Work Experience*
1-2 years of healthcare experience and electronic medical record experience is preferred.**
Candidates that are local to the facility in Roxboro, NC will be strongly considered.
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*EEOC Statement*
Person Memorial Hospital ensures all job applicants and employees have equal employment opportunities. We comply with all applicable laws prohibiting discrimination against an employee or job applicant based on factors such as color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veteran status, or any other basis protected by federal, state, or local law.
**Job:** **Billing/Collections*
**Organization:** **Person Urgent Care*
**Title:** *Coder – Biller*
**Location:** *NC-Roxboro*
**Requisition ID:** *7460-8838*
