Coder

As a part of the Revenue Cycle team, Coders are responsible for the accurate coding/charge capture ( ICD 10-CM, ICD 10-PCS, CPT and HCPCS )of all records for Nor Lea Hospital District. The coder will perform review and audit of the medical records to support continual improvement optimize reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, and accurate database information. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. The coder serves as a liaison between the billing department and the clinical staff; utilizing denial trends, claim edits, and provider questions as tools to increase reimbursement and clean claims which in turn will reduce the districts AR days.

• Abstracts all necessary information and assigns codes (ICD-10, CPT & HCPCS), which most accurately describe each documented diagnosis, surgical procedure and special therapy or procedure according to established guidelines.
• Serve as a resource and subject matter expert to providers and other medical personnel regarding coding, charges, and regulations.
• Reviews, analyzes, and completes work queues daily. Addresses edits and determines appropriate actions.
• Works as liaison for departments and patients to better understand coding/charge capture.
• Works closely with the Revenue Cycle team and clinical teams to address coding errors and assists in adjusting workflows and provides education to improve reimbursement as well as to educate the clinical teams to eliminate rework.
• Evaluates current coding capture processes to ensure appropriate capture and revenue reporting in compliance with government and third-party payer requirements, to ensure consistency across the district.
• Assists customers timely upon request and follows up on previous interactions to ensure issue resolution, escalation, or issue closure as appropriate.

Values

i - Innovation

"Think Forward" "Set Out-Of-The Box Goals" "Exploring new possibilities" I am the change agent that advocates for our customers. I think outside of the box to create Exceptional experiences that set us apart. I look for solutions and think of new ways to solve problems, even if it is outside of my department.

C - Compassion

"Demonstrate genuine concern" "Display a Selfless attitude" I show kindness in every interaction. I strive to build trust with our co-workers and customers. I will communicate with our co-workers and customers in a way they understand. I will make time to address our co-workers and customers' needs.

A - Accountability

"Show integrity" "Accept Ownership & Responsibility" I will demonstrate integrity by doing the right thing, being honest and having strong moral principles. When mistakes occur, I take the necessary steps to correct them, without dismissing patient concerns and follow through until resolution. I fully document actions taken to ensure continuity of care. I communicate expectations and follow up within defined time frames and provide updates as I understand them for my customers and teammates.

R - Respect

"We value diversity" "Respect is earned" I treat all people with dignity and respect, regardless of their beliefs. I do not use negative/derogatory language. I accept constructive feedback and suggestions for the greater good.

E - Empowerment

"Share Knowledge" "Take Action" I will share knowledge to empower others and encourage them to make informed decisions. I encourage others to reach their full potential. I will encourage trying new things, diverse ideas, and learning from our mistakes. I have the freedom to do what is right for our customers.

Organization Expectations

Communication

The process of sending and receiving messages with words, verbally, written or in sign language.

Customer Focus

Identifying and responding to current and future patient and other customers’ needs; providing excellent service to internal and external patients and other customers.

Initiative

Identifying and dealing with issues proactively and persistently; seizing opportunities that arise.

Self-Development

Lifelong, voluntary, and self-motivated learning.

Teamwork

Effectively work and complete assignments in group settings. Works independently and cooperatively with others to achieve common goals.

Experience

Two years of coding experience using ICD 10-CM, ICD 10-PCS, CPT and HCPCS or equivalency preferred but not required.

Education

Completion of high school, or equivalent required

Licensure/Certification- Current

Certified Coding Specialist (CCS) Preferred

Certified Coding Specialist - Physician-Based (CCS-P) Preferred - or

Certified Professional Coder (CPC) Preferred

If you are a current employee or have previously worked for Nor-Lea Hospital District, please contact the Human Resources Department at hrgroup@nlgh.org for your correct username and password.