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Certified Coder - Springfield, OR

Quick Facts
Company Name:Oregon Urology Institute
Location:Springfield, OR
Employment Type:Full Time
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Description

Oregon Urology Institute has a full time Certified Coder position available.

This is a full time 40 hour per week benefited position

The Certified Coder evaluates medical records and charge tickets to ensure completeness, accuracy and compliance with the Clinical Modification (ICD-10-CM) and CPT manual coding. Provides technical guidance and training on medical coding to physicians and staff, reviewing and correcting denied claims and performs related duties as required.

Typical Physical Demands:

Requires sitting for prolonged periods of time and some bending, stooping and stretching. Requires hand-eye coordination and manual dexterity necessary for the operation of basic office equipment such as a computer, calculate, copier and telephone. May be required to lift up to 25 lbs. Requires the ability to work quickly and accurately under stress.

Typical Working Conditions:

Work is performed in an office environment. Involves contact with physicians, patients and internal staff.

Example of Duties:

(This may not include all of the duties assigned).

  • Evaluates medical record documentation and charge ticket coding and complies with legal standards and guidelines
  • Provides technical guidance to physicians and other departmental staff in identifying and resolving issues or errors, such as incomplete or missing records and documentation, educates and advises staff on proper code selection, documentation, procedures, and requirements, identifies training needs.
  • Leads coding and billing staff.
  • Responsible for EDI Claims Scrubber.
  • Keeping PM and EMR data base current by adding new codes and removing obsolete codes.
  • Researching complex coding issues and share findings with Physicians and Staff.
  • Answers incoming business office calls.
  • Interacting with patient in person and on telephone regarding their accounts.
  • Review and re-process denied claims
  • Send appeal letters to insurance carriers as needed.
  • Assist with accounts receivables follow up.
  • Keep current with all insurance company coding rules and policy changes.
  • Maintain strictest confidentiality.
  • Cross-train on other department duties.
  • Perform other duties as assigned.

Experience and Skills:

  • Active Certified Coding Specialist designation (CCS) or (CPC) issued by the American Health Information Management Association.
  • Equivalent combination of experience, education and training that would provide the required knowledge and abilities.

Performance Requirements: Knowledge of ICD-10-CM and CPT coding guidelines; medical terminology, English grammar and usage. Ability to research and analyze data and resolve issues: read and interpret medical procedures and apply policies, procedures, laws and regulations. Develop training materials, make group presentations, train staff and exercise independent judgement. Confidentiality, knowledge of OUI financial policies, medical office experience. Skills in operating a computer, photocopy machine and 10 key and knowledge of reimbursement practices preferred.

Education: Equivalent of a high school diploma.

Experience: Certified Coder in a medical office. Centricity Practice Management experience preferred.

Active CPC is required

Completed COVID vaccination is required.