Coder Certified Outpatient-Mental Health

Ridgeview is seeking a skilled coder to add to our amazing team. With expertise in mental health coding. While not required, experience and/or interest in the mental health field is highly valued. This position will be responsible for coding in the following areas in mental health: Pro Fee coding, Facility coding, Partial Hospitalization, Outpatient Day Program, Telehealth Consults, Crisis Care.

Purpose of Job

This position is responsible for reviewing clinical documentation and charges for assignment of compliant, accurate and complete ICD-10, CPT, HCPCS codes and modifiers. Outpatient coders review/apply codes that detail the volume and intensity of hospital, health system, or provider resources used to deliver patient care, such as the use of medical equipment, medication, and nursing staff. Areas of focus include, but are not limited to facility and professional fee, Outpatient, ED, Wound, Same Day Surgery, Observation, Swing Bed, Ambulance, Home Health, and Hospice. Legitimately and ethically apply codes based on Official Coding Guidelines and NCCI guidelines with physician/department consultation/query when appropriate. Responsible for coding all Ridgeview locations including but not limited to critical access hospitals.

Job Functions

1. Identifies, verifies, abstracts and translates medical record documentation to accurate and complete codes according to industry approved guidelines and department policies.
2. Completes coding queues/tasks as assigned, maintaining a consistent level of productivity and accuracy.
3. Maintain accurate coding-related information in other platforms, which may include claims clearinghouse, practice management system and encoding software.
4. Review and/or correct coding related denials.
5. Participate in coder specific training and education. Maintain certification and continuing education hours.
6. Attend mandatory training and on site meetings.
7. Participate in and attend audit and education for physicians/clinicians and departments.
8. Travel to and/or permanently work at a site within a clinic or hospital.
9. Ability to work remotely after meeting and maintaining productivity and quality standards.
10. Performs other duties as assigned.

Minimum Education/Work Experience

• Coding Certification through approved association in relation to job

Knowledge/Skills/Abilities

• Knowledge of coding principals (ICD/CPT/HCPCS)
• Ability to meet and maintain the necessary background checks as aligned with position functions
• Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
• Knowledge of Anatomy/Pathophysiology/Pharmacology/Surgical procedures
• Knowledge of basic computer functions and Microsoft Office applications
• Ability to prioritize and organize responsibilities

License/Certifications

• AAPC, AHIMA, or NAAC

Preferred Qualifications

• Minimum 1-2 years of healthcare coding experience
• Experience using EPIC
• 3M Encoder experience
• Excellent analytical and critical thinking skills in order to identify, analyze, research and develop solutions for coding related issues and/or process improvement.
• Mental Health

Link to Employee Health Physical Demands

Compensation

Many factors are taken into consideration when determining compensation such as: the requirements of the position, experience, education, knowledge, and skills along with location and internal equity. Pay listed does not include any shift, weekend, or other differentials.

Benefits

Ridgeview strives to provide comprehensive and market competitive benefits to meet the needs of our employees and their families.

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