Job detail

Healthcare Coder

Southwest Network

#HIPAA #Medical Coding #Microsoft Excel #Microsoft Word #Microsoft Outlook #Healthcare Administration #Electronic Medical Records #Coding Guidelines #Arizona Fingerprint Clearance Card

Quick overview

The role involves assigning and sequencing medical codes according to government and insurance regulations while conducting audits to ensure fidelity. The coder is also responsible for analyzing medical records to identify documentation deficiencies and collaborating with providers for clarification.

Requirements summary

Candidates must have an associate degree in medical coding or a certification program and at least one year of multi-specialty coding experience. Additional requirements include a valid Arizona driver's license and a state fingerprint clearance card.

associate degreeprofessional certificateWritten CommunicationVerbal CommunicationHIPAA ComplianceMedical TerminologyMicrosoft OfficeData EntryMedical CodingMedical AuditingDocumentation AnalysisElectronic Medical Records Software

Job description

Essential functions for this position
Ensures that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
Complies with all medical coding guidelines
Follows up and clarifies any information that is not clear with the rendering provider
Conducts ad-hoc audits to ensure fidelity to coding guidelines
Relevant expert for Southwest Network on accurate and efficient coding practices
Analyze medical records and identify documentation deficiencies

Nonessential functions
Follows policies and procedures and adheres to the requirements of the Corporate Compliance Program.
Ensures confidentiality of verbal and written information in accordance with HIPAA standards and Southwest Network policy, and adheres to the legal, ethical, and professional guidelines adopted by Southwest Network.
Other duties as assigned.

EDUCATION and/or EXPERIENCE, LICENSURE and CERTIFICATION
Associate degree in medical coding or successful completion of a certification program required.
Must have a minimum of 1 year of experience working in multi-specialty coding.
Must maintain a valid Arizona state fingerprint clearance card.
Must have and maintain a valid Arizona driver’s license.
Must be at least 21 years of age. KNOWLEDGE, ABILITY and SKILLS
Strong understanding of medical terms
In-depth understanding of medical coding guidelines
Excellent written and verbal communication skills. The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. Nothing in this job description restricts the right of Southwest Network management to assign or reassign duties and responsibilities to this job or change this job description at any time.
Ability to maintain a high level of integrity and confidentiality of medical information.
Must be competent in the use of electronic medical records software, as well as in the use of a computer, printer, copier, and telephone. Preferred typing skills of 25 to 40 WPM. Occasional use of fax machines, security systems, and other office equipment.
Must be highly proficient in the use of Microsoft Office software, including Outlook, Word, and Excel.

Healthcare Coder

Quick overview

Requirements summary

Job description

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