Coder -Certified

Location: Wenatchee, WA
Facility: Central Washington Hospital
Schedule: Full Time
Shift: Day Shift
Hours: 0700-1600

Job Description

Position Summary:

  • To review and edit professional fee charge sessions and tickets, ensuring proper use of diagnosis and procedure codes for accurate billing and maximum reimbursement. Completes charge sessions and tickets by applying modifiers, CCI edits, etc., and batches according to department policy.
Essential Functions:
  • Essential Functions:
    • Reviews electronic coding workqueues for charges presented for proper use of diagnosis and procedure codes.
    • Receives paper charge tickets and appropriately prepares for charge entry.
    • Confirms accurate patient demographics on each ticket including MSN #, patient #, insurance information, etc. according to department policy.
    • Verifies service provider and billing provider number fields are populated.
    • Verifies referring provider number field is populated, if appropriate.
    • Applies knowledge of coding rules, verifies the proper use of the following items, and makes appropriate corrections:
      • Payor specific billing guidelines
      • Modifiers
      • ICD9 diagnosis codes
      • Multiple surgery guidelines
      • CPT4 E&M and procedure codes
      • DMERC guidelines
      • HCPCS codes
      • Rural Health guidelines
      • CCI edits
    • Effectively uses software and/or coding books to verify coding accuracy.
    • Reviews charge sessions for proper coding for special departments (e.g., Charity care, special accounts, MVA, L&I, etc.) and transfers session to the appropriate specialist for completion.
    • Responsible to stay current with billing guidelines and reimbursement rules and regulations.
    • Provides feedback to providers regarding incorrect coding using authorized methods as dictated by department policy.
    • Works with clinical staff to resolve coding issues and related problems.
    • Participates in educational activities as requested (i.e., attending meetings with clinical staff).
    • Completes production logs as required for department statistical reporting.
    • May be requested to perform job tasks not specifically related to primary assignments for the success of the organization as requested by management.
  • Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
  • Required:
    • High School graduate or equivalent.
    • Proficient in the performance of basic math functions.
    • Possesses basic computer (e.g., spreadsheets, word processing) skills.
    • Must be a team player.
    • Maintains a positive, resourceful attitude toward achieving overall department and clinic goals.
  • Desired:
    • American Academy of Professional Coders certification [AAPC].
    • Knowledge of ICD-9, CPT coding, medical terminology, and insurance billing.
Additional Information

About Confluence Health: Confluence Health is an integrated, rural healthcare delivery system with two hospitals, multi-specialty care in 30+ service lines and primary care in 11 communities across north central Washington State. Our 270 physicians and 130 advanced practice clinicians serve an area of approximately 12,000 square miles and cover nearly every corner of this region through specialty outreach. Our Mission: We are dedicated to improving our patients' health by providing safe, high-quality care in a compassionate and cost effective manner. Our Setting and Lifestyle: We are located in the heart of Washington State and just 2.5 hours east of Seattle. Our region offers a diverse array of recreational opportunities in breathtaking landscapes, from alpine country to the high desert, orchards to vineyards, cross country skiing to fly fishing and everything in between. Cycling, mountain biking, rafting, hiking; it is all right here. The region also offers a family friendly environment with excellent schools and cultural and art activities for the entire family.