Job Description

Description

CORE VALUES

The core values of Community Health Center of Southeast Kansas (CHC/SEK) are dignity and stewardship. Each staff member is expected to perform their job duties in a way that preserves dignity for our patients and maintains good stewardship of the Center's resources.

GENERAL DESCRIPTION

This position is part of the Practice Transformation team. This position is responsible for review of medical and/or behavioral health data necessary for the collection of revenues from third party payers. This position requires time interacting with payers and with providers and other clinical support staff.

Requirements

ESSENTIAL DUTIES

1. Verify diagnosis/procedure codes necessary for accurate billing of all charge for services.
2. Work with providers on documentation to ensure coding is compliant and maximized.
3. Review medical documentation to ensure maximization of coding for payment.
4. In accordance with CHC/SEK policy, update coding for claims submission.
5. Track and trend coding changes in coding or documentation in order to provide feedback and/or education to providers and the organization.
6. Maintain current knowledge of coding requirements for all payers.
7. Maintain current knowledge of coding requirements regarding FQHC payment guidelines and practices.
8. Knowledgeable of Fraud and Abuse regulations.

EDUCATION AND EXPERIENCE

1. High school diploma or equivalent required.
2. Knowledge of ICD10 coding, CPT and HCPCS required.
3. Certified Professional Coder (CPC) required.
4. Minimum of two (2) years healthcare billing/coding experience preferred.

KNOWLEDGE, SKILLS AND ABILITIES

1. Social and cultural sensitivity appropriate to ethnically and economically diverse patient-and employee-base.
2. Demonstrate knowledge of medical terminology and anatomy and physiology.
3. Must be organized and able to manage/prioritize tasks to meet deadlines, adapts to change in a positive manner, able to work as a part of a team.
4. Communicates through appropriate channels. Use proper chain of command for patient complaints.
5. Ability to handle emergency situations calmly and effectively.
6. Must be computer literate and be proficient with the Electronic Health Record software.
7. Must be able to maintain good inter-personal relationship with co-workers and other members of the health care team and the organization.
8. Provide customer service in accordance to the organization’s mission.
9. Maintain patient confidentiality in accordance to organization’s policy and procedure and HIPAA requirements.

WORKING CONDITIONS

While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand. The employee must occasionally lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus. The noise level in the work environment is usually moderate.