Certified Medical Coder

The Villages, FL

Full Time

Primary Care Center

Experienced

ONSITE POSITION - Not Remote

About The Villages Health

The Villages Health is a patient-centered primary care driven, multi-specialty medical group with over 700 team members. Our unique care model gives us both the time and resources to truly care for our patients, along with a company culture that supports a healthy work-life balance for our team members. Our purpose, mission and vision is to empower Villagers and the surrounding communities to live out their dreams by keeping them healthy and healing them quickly. Together, we are changing the way healthcare is delivered and are making a positive difference in the lives of our patients and the communities we serve. In doing so, The Villages Health is creating America’s Healthiest Hometown.

Our Full-time Benefits
Medical, Dental & Vision Insurance | Matching HSA & 401k | PTO & Paid Holidays | The Villages Charter School Eligibility | & much more!

Hiring Event
Please bring your resume and join us:

Friday, December 20th from 9:30 AM to 1:30 PM at Lake Deaton Care Center (779 Kristine Way, The Villages, FL 32163) – RSVPs are encouraged through Eventbrite at https://bit.ly/3YWMqkx

Responsibilities:

Accountable for timely, accurately coding and filing claims to minimize the number of claim rejections and denials.

Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider. In accordance with correct coding guidelines, correct codes and notify provider as needed.
Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses.
Utilize CPT/HPCS to assign and sequence all codes for services rendered
Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with medical record documentation.
Review all FFS and UHC MA notes from encounters from prior day.
Review diagnosis codes to ensure that the codes are specific to clinical documentation properly.
Collaborate and provide feedback to providers when questions arise where a code might need to be edited or added according to correct coding guidelines and requirements.
Ensure that claims are accurate and clean before submission utilizing appropriate coding tools.
Resolve coding issues in the Athena Workflow Dashboard “Hold” cues as well as the Assigned Claim Worklists . Collaborate with provider to obtain codes/information necessary to submit claims.
Review assigned providers upcoming schedules to identify M.A. patients. Audit M.A. patient chart for any HCC diagnoses (retrospective, prospective or suspected) that need to be brought forward to the provider to validate and subsequently address.
Comply with all legal requirements regarding coding procedures and practices.
Conduct chart audits and coding reviews to ensure all documentation is accurate and precise in accordance with correct coding guidelines.
Work closely with compliance and department administrators on coding and documentation issues as they arise.
Perform and share research regarding coding issues as requested.
Assist and collaborate with TVH billing department personnel as needed to ensure all bills are satisfied in a timely manner.
Meet defined productivity standards (as stated below)
Maintain currency with established coding and insurance processing guidelines.
Attend scheduled coding meeting as well as other scheduled meetings to provide coding input.

Education/Experience Requirements:

High school graduate, some college coursework preferred.
2 years medical coding experience.
Experience in interpreting medical records; electronic & paper.
Experience in interacting with physicians regarding coding requirements.
CPC, CCS, CRC required.
Extensive knowledge of CPT/HPCS and ICD9/ICD10 coding.
Extensive knowledge of anatomy and physiology.
Knowledge of medical documentation and requirements.
Excellent typing and 10-key speed and accuracy.
Excellent organization skills.
Effective communication skills both written and verbal,
Commitment to high level of customer service.
Previous experience in operation of office machinery including copier, fax, computer and printer.
Proficiency in Microsoft products including Excel, Word, and Outlook.

Salary is commensurate with experience.

Questions? Contact us at [email protected]

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SELF-ATTESTATION

I certify that I have read and understand the applicant instructions included with this application and that the answers given by me to the foregoing questions and statements made by me are complete and true to the best of my knowledge and belief.

I understand that any false information, omissions, or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment.

I understand that The Villages Health is an equal opportunity employer and does not unlawfully discriminate in employment and this application form is intended for use in evaluating my qualifications for employment and that this application is not an offer of employment.

I further understand that if hired, my employment will be considered "at-will" and that my employment may be terminated for any reason, with or without cause or notice, at any time by me or the Company and that this application is not intended to constitute a contract of continued employment.

I hereby authorize The Villages Health to contact, obtain, and verify the accuracy contained in this application. I authorize all persons, educational institutions, corporations, companies, agencies, and references to supply any information concerning my background. This includes authorizing the release of information about non-judicial punishment that might have occurred in any branch of the military service. If an official background check of my credit and criminal history is needed, a separate Disclosure Statement and Authorization will be provided to me.

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