CERTIFIED PROFESSIONAL CODER

Salina Regional Health Center

CERTIFIED PROFESSIONAL CODER

POSITION SUMMARY
Assigns ICD-10-CM and CPT codes for professional services using coding guidelines and principles to ensure appropriate billing processes, reimbursement follow up and analysis. Familiar with accounts receivable and collection activities. Utilizes resources available to ensure full compliance with federal Medicare and Medicaid laws and regulation provisions, and in keeping with the health center mission.

POPULATION SERVED: n/a
OSHA CATEGORY III

ESSENTIAL JOB FUNCTIONS

QUALITY
Displays knowledge of current and new regulations governing insurers, both private and government.
Maintains knowledge of medical terminology, coding guideloines and documentation requirements.
Patient medical information is collected and verified as related to accurate coding.
Charts are accurately coded and completed within the established time frames to avoid claim denials and meet targets of days in accounts receivable.

ACCESS
Appropriate measures are taken to ensure communication with patients, families and aplicable thrid parties to protect patient privacy.

STEWARDSHIP
Provides exceptional customer service to patients and ambulatory departments.

ORGANIZATIONAL VALUES

PATIENT CENTERED
Keeps the welfare of the patient at the center of all decisions and actions by maintaining a customer-centered focus at all times.
Advocates for patients and their families by practicing behaviors that create a culture of patient focused activity.

QUALITY
Expects excellence of self and others.
Questions the status quo; uses creativity and innovation to engage in performance and process improvement.
Identifies and mitigates risk.

INTEGRITY
Is honest and ethical in all matters.
Demonstrates teamwork/cooperation within and across departments, understanding others perspectives and resolving conflict constructively.

TRUST
Safeguards the privacy, security, and confidentiality of protected health information at all times.
Treats all people with dignity; supports diversity; and understands related issues.
Is flexible and adaptable to change; demonstrates a positive and supportive attitude; and willingly accepts change.

SUSTAINABILITY
Holds self and others accountable in the use of SRHC supplies, and completion of tasks in a timely, efficient, and productive manner.
Volunteers for or accepts new or additional duties/responsibilities for the greater good of the department, organization, and/or patient.

POSITION QUALIFICATIONS

MINIMUM EDUCATION
Successful completions of coding program

MINIMUM EXPERIENCE
None

REQUIRED REGISTRATION/LICENSE/CERTIFICATION
CPC, CCS-P, CPC-H, or other related coding certification
Applicable Resuscitation and other position-related certifications must be obtained within the timeframe established by SRHC policy.

PHYSICAL DEMANDS
Lifts, positions, pushes and/or transfers up to 10 pounds
Primarily sedentary work
Manual dexterity and mobility
Near acuity: ability to see clearly at 20 inches or less

WORKING CONDITIONS
Subject to many interruptions; pressure due to multiple calls, inquires, and/or deadlines

EMPLOYEE ACKNOWLEDGEMENT
In signing the job description, I attest that I will adhere to Salina Regional Health Center’s policies, procedures, and regulatory standards, including but not limited to complying fully with the Corporate Compliance Program and Code of Ethical Conduct; and participating actively in the Quality Assessment and Performance Improvement Plan, including identifying and mitigating risk to patients.

I acknowledge that I have read, understand, and accept the qualifications, responsibilities, and performance expectations outlined in the job description.  I recognize that these duties form the basis for my performance evaluations, and that management reserves the right to assign additional tasks or change existing essential job functions as operational needs dictate.  I confirm that I am able to perform the essential functions of this position with or without reasonable accommodation.