Registered Nurse/Medical Coder (Full-Time; Monday through Friday)
Location: San Ramon
POSITION SUMMARY:
Under general supervision, is responsible for accurate coding and determination of case mix sequencing of all patient services diagnoses, procedures and conditions, in conjunction with proper utilization review and coordination of patient care. Classification systems include ICD-9-CM and CPT as well as other specialty systems as required by diagnostic category.
ESSENTIAL FUNCTIONS OF THE POSITION:
1. Coordinate patient charge capture.
2. Ensure CPT and ICD-9 codes are correctly linked as per National Correct Coding Initiative Guidelines.
3. Review account information to confirm that patient and insurance information is accurate and complete.
4. Responsible for abstracting codes.
5. Must ensure all coding is reported accurately and have the ability to perform audits.
6. Collect and report missing, incorrect or incomplete charge slips to supervisor and maintain follow-up system to facilitate complete charge capture.
7. Correct any claim errors relating to coding on charges entered into the Misys system.
8. Attend appropriate training sessions and continuing education on current coding practices to stay up to date on physician billing practices.
9. Must maintain necessary CME required by AAPC or AHIMA.
10. Instructs and direct staff in developing and utilizing Quality Improvement data, collection procedures, analysis, methods and systems.
11. Instructs field staff in the generation of appropriate, accurate and thorough documentation of patient care.
12. Oversees the monitoring of clinical documentation for completeness and accuracy, assesses appropriateness of care and the adequacy of the plan of care.
REQUIREMENTS:
Possess and maintain a current California License as a registered nurse
Posses and maintain certification as a coder, if not must be able to take the exam within 6 months
Knowledgeable in utilization review including knowledge of regulatory and accreditation standards.
Must have home health experience, and OASIS
At least 2 years experience doing coding within medical setting is a must.
SKILLS/ABILITIES:
Ability to act independently as necessary in coding, analyzing, reconciling, and updating billing activity.
Strong communication, organization, and problem solving skills.
2+ years practical experience with ICD-9 and CPT coding and 3rd party reimbursement as well as with the Center for Medicare and Medicaid regulations, preferably in a home health setting.
Ability to interact effectively with corporate staff, managers, employees, clients, professional colleagues and vendors.
AccentCare has branches in California, Arizona, New York and Washington. We are a comprehensive Home Health Company with a network of 40 offices in four states.
AccentCare delivers the best care possible, the best way possible, because our culture is founded on providing high quality, highly personalized care for seniors and their families. We have developed proprietary programs to attract and retain the best people in the industry.
As a key ingredient to employee motivation, and quality, AccentCare is committed to ongoing training and development programs to foster a unique culture of professionalism.
AccentCare has assembled an innovative and experienced management team that is streamlining operations throughout the organization so that our time and energy is devoted primarily to developing our employees and caring for our clients.
AccentCare is an equal opportunity employer. It is our policy to recruit, hire and promote for all jobs classifications on the basis of merit, qualifications and competence. This applies to all categories of employees such as managerial, professional, technical and support staff. All employment decisions will be made upon the basis of the individual’s qualifications as related to the requirements of the positions being filled.
AccentCare is a drug-free workplace. We support a drug-free environment with pre-employment drug screening and criminal, identity, and employment background checks.
Please, send resume to jluu@accentcare.com or fax it to 866-224-1868.