Coder - CLIN OPS PEDI SPECS

Overview

Under general supervision, coordinates the processing, review and application of ICD-10 coding rule sets, CPT and HCPCS codes to medical records based on documentation provided by the providers and adheres to coding compliance for a specified clinical area. Adheres to strict federal coding rules in selecting codes that appropriately and accurately reflect the condition that the patient had and the medical service that was provided. Will communicate heavily with Coding / Compliance Department and coding peers to abstract clinical and statistical data for outcome measure and monitoring. Provides coding education including but not limited to : Patient Representatives, Billing / Collection Specialists, and / or clinical providers in an effort to ensure compliance and capture appropriate revenues. Assures timely data entry for billing or auditing purposes and performs quality checks of billing information in the applicable computer system(s).

Providence caregivers are not simply valued – they're invaluable. Join our team at Covenant Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Responsibilities

Coordinate processing, review and application of ICD-10 coding rule sets, CPT and HCPCS codes to medical records based on provider documentation.

Adhere to federal coding rules to ensure codes reflect the patient condition and the medical service rendered.

Communicate with Coding / Compliance Department and coding peers to abstract clinical and statistical data for outcome measures and monitoring.

Provide coding education to Patient Representatives, Billing / Collection Specialists, and / or clinical providers to ensure compliance and capture appropriate revenues.

Ensure timely data entry for billing or auditing purposes and perform quality checks of billing information in the computer systems.

Qualifications

Required Qualifications :

Coursework / Training : CEUs required to maintain CPC

Upon hire : National Certification from American Academy of Professional Coders or

Upon hire : National Certified Coding Associate - American Health Information Management Association or

Upon hire : National Certified Coding Specialist - American Health Information Management Association or

Upon hire : National Certified Coding Specialist - Physician - American Health Information Management Association or

Upon hire : National Certified Documentation Improvement Practitioner - American Health Information Management Association or

Upon hire : National Certified Health Data Analyst - American Health Information Management Association or

Upon hire : National Registered Health Information Administrator - American Health Information Management Association or

Upon hire : National Registered Health Information Technician - American Health Information Management Association

1 year related to the essential functions specified.

Preferred Qualifications :

Upon hire : CPC and / or CPC-H

1 year experience in a physician practice setting.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby / on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs / benefits

Applicants in the Unincorporated County of Los Angeles : Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act

About the Team

Since 1918, Covenant has been driven by a mission of providing a Christian ministry of healing and caring for the whole person through our integrated health network in West Texas / eastern New Mexico. Our award-winning and comprehensive medical centers are located in Lubbock, Levelland, Plainview and Hobbs. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, outreach programs, hospice and home care, and even schools for nursing and radiography.

Providence is proud to be an Equal Opportunity Employer . We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID : 388660

Company : Covenant Jobs

Job Category : Coding

Job Function : Revenue Cycle

Job Schedule : Full time

Job Shift : Day

Career Track : Admin Support

Department : 8002 CLIN OPS PEDI SPECS

Address : TX Lubbock 2215 Nashville Ave

Work Location : Covenant Medical Grp-Nashville Ave

Workplace Type : On-site

Pay Range : $21.67 - $33.16

J-18808-Ljbffr