Job Description

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri.

No matter where you start with us, we’re committed to taking our team to the top. If you’re ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family.

General Summary

• The coder is responsible for ensuring appropriate levels of service being billed according to the American Medical Association (AMA) and Center for Medicare and Medicaid Services (CMS) guidelines, insurance credentialing, and provider/staff education in relation to coding and billing guidelines. Maintain routine chart audits for providers.

Essential Duties and Responsibilities

• Assigns ICD-10-CM, CPT, and HCPCS Level II codes to completed and signed medical documentation creating an appropriate assigned medical claim.
• Abstracts specified data and information from patient records in order to determine appropriate modifiers for claim submission.
• Queries providers for clarification of documentation when unclear or inadequate in order to code accurately. Requests providers to complete addendums as necessary.
• Stays up-to-date with ICD-10-CM, CPT, HCPCS Level II, AMA, CMS and other federal, state, local, and Phelps Health-specific coding guidelines, rules, and regulations and applies those guidelines to all types of patient accounts.
• Abides by AAPC’s “Standards of Ethical Coding” and Phelps Health’s Corporate Compliance coding guidelines.
• Monitors providers documentation for timely completion. Notifies Coding Manager of any providers who fall outside the designated 73-hour turnaround time frame.
• Maintains the designated 3 business day time frame for coding completed records and provides weekly report summaries to Coding Manager. Maintain productivity standards as set forth by Phelps Health productivity matrix.
• Maintain annual certification through AAPC or AHIMA and completes required CEUs for certification maintenance.

Education

• High school diploma or equivalent required.

Work Experience

• Minimum 1-year medical coding experience is preferred.

Certification/License

• Certification as a medical coder through AAPC (A’s are accepted). AHIMA certification is accepted as well.

Mental/Physical Requirements

• Considerable mental concentration for sustained periods of time with attention to detail of paramount importance. Pressures of time, accuracy, and interruptions. Must handle confidential material. Long periods of sitting is required. Standing, walking, reaching, bending, and stooping. Vision must be good. Must have finger dexterity and complete use of hands and arms. Approximately 80% of working time is spent at a computer. Must have great customer service skills and the patience to deal with difficult situations.

Working Conditions

• Remote office conditions; home office needs to be in a private location due to HIPPA. Computer screens should not be visible to others walking by. Equipment is provided by Phelps.

At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around, and we invite you to see for yourself! Apply now to join us on our mission in health care.