Job Description

POSITION SUMMARY

The Certified Professional Coder will be responsible for review and submission of claims from all KVHC patient visits. This person will be responsible for Provider Education and Chart Audit in regards to coding. The CPC will work as part of the Patient Care Team to ensure effective and quality care is given to the KVHC patient.

RESPONSIBILITIES

1. Check/correct or assign codes for each visit as indicated per office notes and provider's orders.

2. Review and analyze documentation for services in order to be compliant with ICD-10-CM and CPT guidelines.

3. Review charge slips to maximize charges for each visit

4. Post charges into Athena.

5. Resolve any coding related billing issues.

6. Perform coding and CPT utilization audits.

7. Stay current and adhere to rules and regulations concerning Medicaid, Medicare, and private insurance

8. Work directly with the Billing Representatives.

9. Communicate with providers to resolve documentation needs as they arise

10. Provide coding education to providers at provider meetings

11. Keep current on certification for Professional Coder

12. Attend trainings as required and responsible for obtaining and maintaining personal CPC certification.

13. Become proficient with Practice Management Systems (Athena Health)

14. Perform Chart Audits on an as needed basis.

15. Adhere to patient confidentiality requirements to include but not limited to the guidelines of the Health Insurance Portability and Accountability Act.

16. Performs additional duties or projects as assigned by the Chief Financial Officer.

17. Adheres to all KVHC policies and protocols.

18. Complies with all safety rules and protocols. Reports all incidents, regardless of severity, immediately to their supervisor and completes an incident report and investigation form, which will be forwarded to Human Resources within 24 hours of the incident.

19. Conducts themselves as a good steward in the communities served by KVHC; represents the organization at outreach activities as needed.

20. Actively participates as committee member as assigned by the Chief Executive Officer.

21. Interacts harmoniously and effectively with others. Focusing on the attainment of organization goals and objectives through a commitment to team work.

22. Conforms to acceptable attendance and punctuality standards as expressed in the employee handbook.

23. Abides by the organization's compliance program and requirements

24. At times you may be faced with challenges that may impact patient care. Addressing these challenges may not be in your job description, however Katahdin Valley Health Center encourages each team member to go above and beyond to address the patients' needs in the moment.

Employees have the autonomy to see the care experience through from A to Z to show our patients KVHC C.A.R.E.S.

Job Type: Full-time

Benefits:

401(k) matching Dental insurance Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance
Work Location: In person