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Medical Coder

Amoskeag Health

Amoskeag Health, formerly Manchester Community Health Center (MCHC), is a nonprofit 501(c) (3) federally qualified health center offering high-quality, comprehensive, and family-oriented primary health care and support services since 1993. Now known as The Dr. Selma Deitch Center for Children and Teens, Child Health Services (CHS) is the original pediatric practice of MCHC dedicated to improving the health and well-being of at-risk children. In June of 2019, all locations of MCHC consolidated under one name, Amoskeag Health.

Through all its programs, Amoskeag Health serves over 14,579 patients annually across four locations in Manchester.

Mission
To improve the health and well-being of our patients and the communities we serve by providing exceptional care and services that are accessible to all.

Vision
We envision a healthy and vibrant community with strong families and tight social fabric that ensures everyone has the tools they need to thrive and succeed.

Core Values
We believe in:
• Promoting wellness and empowering patients through education
• Fostering an environment of respect, integrity and caring where all people are treated equally with dignity and courtesy
• Providing exceptional, evidence-based and patient-centered care
• Removing barriers so that our patients achieve and maintain their best possible health

This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

Primary care, preventive care, outreach and enabling services at Amoskeag Health are supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under the Health Center Cluster grant number H80CS00571. This grant provides approximately 15% of total revenue.


Under the general direction of the Director of Revenue Integrity, this position is responsible for coding for Amoskeag Health's professional practices. This position is responsible for ensuring the appropriate diagnostic codes, CPT codes and modifiers according to CMS coding Guidelines and CMS Correct Coding. Coding, auditing and entering all visits, services, and procedures performed in the office, ambulatory surgical center, and hospital setting using correct CPT & ICD-10 codes.

Key Responsibilities:

•Reviews documentation for appropriate diagnosis and procedure code assignment of professional encounters using the ICD-10-CM, CPT, and HCPCS coding systems.
•Adheres to outside regulations and requirements, state reporting mandates, and provides coding to minimize the number of days in receivables.
•Meets or exceeds productivity and quality standards.
•Communicates with managers and staff for documentation needed for accurate coding and billing. Provide real-time feedback to providers as it pertains to proper coding and clinical documentation of services performed.
•Seeks clarification from the provider via face-to-face or via electronic messaging when documentation is absent, ambiguous or contradictory.
•Adheres to the Standard Operating Procedure for Provider-Coder Discrepancies.
•As per the SOP, provides feedback to providers regarding appropriate documentation for coding. Refers to supervisor any documentation trends that require provider education.
•Maintains positive working relationships with providers, clinical staff, management, and co-workers.
•Works independently and takes initiative to identify opportunities to maximize efficiencies.
•Uses root-cause analysis to recommend process improvements relating to epic work queue and GE Centricity CPS process flow
•Participates in ICD-10 readiness initiatives.
•Participates in new provider education as determined by leadership.

Required Knowledge & Skills:
•Maintains an in-depth knowledge of the software system in areas related to coding.
•Maintains coding credentials through participation in continuing education activities.
•ICD-10-CM, CPT, and HCPCS coding knowledge.
•Ability to code high severity and highly complex cases including, but not limited to surgeries and/or procedures.
•Knowledge and understanding of coding edits.
•Understanding of payer billing rules including provider based billing.
•Possesses effective and professional written and oral communication skills.
•Accepts constructive feedback and makes necessary changes to correct or improve situations.
•Uses computers and related software proficiently.
•Ability to work with excel spreadsheets.

Education/Experience/Licensure:
•Education:  High school diploma or equivalent required.
•Experience:  Three (3) to five (5) years of multi specialty coding experience required.
•Certification/Licensure:  Current AHIMA or AAPC Coding Certification(s) CCS, CCS-P, CPC, or COC required.
•Software/Hardware:  Experience with Centricity, Supercoder, 3M encoder, and Microsoft Office applications preferred.

Job Location:

Manchester

Date Added: December 3, 2019

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