Rural Health Clinic coder

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Rural Health Clinic coder 
1. Position Overview: The coder at The Rural Health Clinic plays a critical role in ensuring accurate and compliant medical coding for all patient encounters. This document outlines the key responsibilities and expectations associated with this position. 
 
2. Responsibilities: 
2.1. Medical Coding: 

• Review medical records and other relevant documentation to accurately assign diagnostic and procedural codes. 

• Assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes based on documented diagnoses and procedures. 

• Ensure compliance with all relevant coding guidelines, including but not limited to National Correct Coding Initiative (NCCI) edits and payer-specific coding requirements. 

2.2. Documentation Review: 

• Evaluate clinical documentation to ensure completeness, accuracy, and specificity for coding purposes. 

• Collaborate with healthcare providers and other staff to clarify documentation as needed to support accurate coding. 

2.3. Communication and Collaboration: 

• Communicate effectively with healthcare providers, clinical staff, and administrative personnel to obtain necessary documentation and resolve coding-related issues. 

• Collaborate with other members of the healthcare team to improve documentation practices and coding accuracy. 

2.4. Compliance and Quality Assurance: 

• Adhere to all applicable laws, regulations, and industry standards related to medical coding and healthcare operations, including but not limited to HIPAA, Stark Law, and Anti-Kickback Statute. 

• Maintain strict confidentiality and security of patient health information in accordance with HIPAA regulations. 

• Participate in ongoing training and education to stay current with coding guidelines, regulations, and best practices. 

2.5. Reporting and Documentation: 

• Maintain accurate records of coding assignments and audit findings. 

• Prepare reports summarizing coding accuracy, trends, and areas for improvement. 

 
3. Qualifications and Requirements: 
3.1. Education and Certification: 

• AAPC or AHIMA credential required 

• Certified Professional Coder (CPC) credential preferred. 

3.2. Experience: 

• Minimum of 3 years of experience in medical coding in a rural health clinic setting. 

• Proficiency in assigning ICD-10-CM, CPT, and HCPCS Level II codes. 

• Experience with Meditech Expanse preferred 

• Experience with rural health facilities preferred 

3.3. Skills: 

• Strong attention to detail and accuracy. 

• Excellent analytical and problem-solving skills. 

• Effective communication and interpersonal skills. 

• Ability to work independently and as part of a team. 

• Proficiency in using electronic health record (EHR) and coding software. 

4. Performance Evaluation: The performance of the coder at The Rural Health Clinic will be evaluated based on adherence to responsibilities outlined in this document, coding accuracy rates, communication skills, and compliance with relevant regulations and guidelines. 
5. Conclusion: The coder at The Rural Health Clinic plays a vital role in ensuring the integrity and accuracy of medical coding processes. By fulfilling the responsibilities outlined in this document, the coder contributes to the clinic’s commitment to providing high-quality patient care and maintaining compliance with regulatory requirements. 
 
Location: Remote,
Type: Contract
Pay: Apply for details

1511

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