ANTHC Outpatient Coding Specialist I - HIM Department - Remote Work Schedule
Alaska Native Tribal Health Consortium
The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.
ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state.
Our vision: Alaska Native people are the healthiest people in the world.
ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:
Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org.
Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.
Summary:
Under direct supervision, performs coding on all diagnoses, procedures, professional services, and supplies.
Responsibilities:
All
Responsible for abstracting, coding, and sequencing the classification of medical and surgical procedures, professional services, diagnosis, supplies and treatment modalities into software programs.
Selects the most accurate and descriptive codes from the listings of American Medical Association Current Procedural Terminology (CPT-4) Coding system, International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM); and Healthcare Common Procedure Coding System (HCPCS).
Codes facility and professional components of outpatient clinic, radiology accounts, laboratory services, and ED charge capture.
Uses the most accurate codes to capture highest level of specificity for social determinants of health, reimbursement purposes, research, statistical analysis, quality of care, and communication to support the patient’s treatment.
Maintains the confidentiality of patient records and procedures. Follows official coding guidelines to extracts pertinent data from the patient’s health record, and determines appropriate coding using the official coding guidelines.
Provides feedback and education to physician and professional staff regarding changes in coding methodology and enhanced documentation procedures for optimizing reimbursement. Sends coding queries to providers to request missing information.
Maintains electronic filing systems. Retrieves, reviews, and compiles data for reports as directed.
Reviews and analyzes medical records to assure the record is complete and accurate, includes signatures and supporting documentation, and meets the requirements for accrediting agencies and reimbursement agencies.
Reviews and resolves system edits, MUE’s, NCCI edits, status indicators, modifiers.
Works under direct supervision of the coding manager.
Performs other duties as assigned.
Outpatient Coding Specialist II
Master all Outpatient Coding Specialist I duties. In addition, provides training and mentoring to new employees as needed. Performs routine audits independently and participates in performance improvement activities.
Provide reports of findings and feedback to parties involved. Provides feedback and education to physician and professional staff regarding changes in coding methodology and enhanced documentation procedures for optimizing reimbursement. Codes the facility and professional components of outpatient specialty, ED, and advanced radiology encounters.
Outpatient Coding Specialist III
Master all Outpatient Coding Specialist I & II duties.
Performs other duties as assigned. Codes the most complex outpatient accounts, including facility and professional components of surgical and observation accounts.
Other information:
KNOWLEDGE and SKILLS
All
Outpatient Coding Specialist II
Moderate skill in training and educating Level I coders.
Ability to review accounts and provide feedback by explaining and instructing effectively.
Outpatient Coding Specialist III
Advanced Skill in training and educating Level I & II coders.
Ability to review accounts and provide feedback by explaining and instructing effectively.
Ability to work independently.
MINIMUM EDUCATION QUALIFICATION
All
A high school diploma or GED equivalent. Completion of a certificate program in coding through the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).
MINIMUM EXPERIENCE QUALIFICATION
Outpatient Coding Specialist I
Six (6) months of practicum experience in any of the following coding classification systems: ICD-10-CM or CPT.
Outpatient Coding Specialist II:
Two years of relevant coding experience.
Outpatient Coding Specialist III:
Three years of relevant coding experience.
MINIMUM CERTIFICATION QUALIFICATION
All – a minimum of one of the below certifications is required:
Outpatient Coding Specialist II & III – a minimum of one of the below certifications is required:
ADDITIONAL REQUIREMENTS
All
May be required to work outside the traditional work schedule.
Depending on work experience, training, and certification(s), the hourly range is: $26.85 - $33.50
Anchorage, AK
12 day(s) ago
Tribal Affiliation(s)
Any Affiliation
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