RMG Coder I Job at Newport Square Professional Center
Newport News, Virginia
Overview
This position works under the direct supervision of the Coding Manager and Senior Director of Coding, Compliance, and Credentialing. . Must be able to demonstrate advanced knowledge of coding and abstracting skills. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. Must have extensive knowledge of medical terminology, the human disease process, anatomy and physiology. Responsible for following all national standards of coding and the Riverside policies and procedures associated with the coding classification schemes (HCPCS, CPT and ICD10/CM). Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations.
What you will do
Qualifications
Education
Experience
Licenses and Certifications
For over 100 years, at Riverside Health System, we have made it our mission to care for others as we would care for those we love.
Overview
This position works under the direct supervision of the Coding Manager and Senior Director of Coding, Compliance, and Credentialing. . Must be able to demonstrate advanced knowledge of coding and abstracting skills. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. Must have extensive knowledge of medical terminology, the human disease process, anatomy and physiology. Responsible for following all national standards of coding and the Riverside policies and procedures associated with the coding classification schemes (HCPCS, CPT and ICD10/CM). Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations.
What you will do
- Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation. Contacts and works with physicians as needed for clarification of details to ensure correct coding.
- Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural and complication codes to all claims while meeting billing requirements of various payers. Coding accuracy must be maintained at 90% or better.
- Meets productivity per standards set by nationally recognized organization and specialty specific levels.
- Complies with standardized coding standards, conventions and regulations, corporate compliance standards, and reimbursement policies. Participates in specialty specific coding training.
- Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships as observed from provider comments, informal observation of problem-solving with providers and feedback from Administration. Works closely with VP/ Medical Director of RMG. Assists patient financial services with questions on coding and billing edits. Mentors and assists in training of other coders within the department. Participates in the development of coding policies and procedures as identified. Coordinates/mentors the work of designated coding employees to ensure quality and quantity of work performed through regular audits.
Qualifications
Education
- ICD1 Coding (Required)
Experience
- 1-3 years Coding (Medical Practice) (Preferred)
Licenses and Certifications
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) (Required)
As a Riverside Health System team member, our benefits have you covered:
Health & Wellness:
- Medical Plan Options
- Vision and Dental plans (including orthodontic care)
- Wellness & fitness center discounts
- Onsite pharmacy and delivery options
- Riverside Health System services discount
- Flexible spending and savings accounts
- Healthy lifestyle incentives
Peace of Mind:
- Group Term Life and AD&D Insurance
- Short Term Disability
- Whole Life Insurance
- Critical Illness Insurance
- Accident Insurance
- Legal Insurance
- Pet Insurance
Financial Support:
- CEUs (MedBridge Education)
- 403(b) Savings Plan (Immediate Matching)
- Specialty Certification Financial Assistance
- Company Wide Bonus Program
- Employee Help Fund
Work-Life Balance:
- Paid Time Off (full- and part-time team members)
- Extended illness bank
- Care.com membership
- Employee Assistance Program
- Adoption Assistance
- Area retail discounts
- Community involvement opportunities
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