Medical Coder I

Job DetailsJob Location: Colorado Springs Explorer Location - COLORADO SPRINGS, CO 80920Position Type: Full TimeEducation Level: 2 Year DegreeSalary Range: $21.09 - $24.25 HourlyTravel Percentage: NoneJob Shift: DayJob Category: Health Care POSITION SUMMARY: The Medical Coder position is responsible for analyzing and interpreting medical records to ascertain medical coding, providing complete and timely diagnosis information to regulatory agencies, and reviewing data to maximize revenue within regulatory guidelines. The ideal candidate for this position will be detail oriented, have a collaborative spirit and excellent communication skills.   MISSION: Improving lives, Optimizing wellness, Promoting independence   COMPETENCIES:   Technical Expertise Problem Solving Teamwork Effective Communication Results Oriented Personal Credibility Quality Focus People Focus Flexibility     RESPONSIBILITIES AND DUTIES: ESSENTIAL JOB FUNCTIONS:   Reviews participant medical records to ensure complete and accurate information Reviews medical staff documentation to ensure consistency and completeness Extracts principal diagnosis and procedures information utilizing current Medicare coding guidelines and other supporting references Enters codes into reporting database. Codes ancillary outpatient and inpatient hospital encounters using ICD-10 CM. Maintains the highest percentage of accuracy as possible and monitors personal audit results from independent coding auditor Reviews coding reports to ensure ongoing diagnoses are appropriately documented and follows up with medical providers regarding dropped Hierarchical Condition Categories (HCC) and documentation requirements Analyzes reports for errors/irregularities and identifies root causes of error in order to prevent future coding errors Analyzes reports to monitor both favorable and unfavorable trends over time and brings the data analysis to supervisors attention for discussion and remediation Obtains and prepares data for periodic/special reports, as requested Maintains a positive and productive working relationship with coding consultant(s) in order to gain organization-specific guidance and coding knowledge Stays current in changing Medicare regulatory environment and requirements Assists Accounting staff with month-end activities, as requested Participates in projects related to year-end and other audits as needed Actively participates in Health Information Management team meetings and special projects to ensure the team successfully meets its strategic goals   Qualifications H.S. Diploma or equivalent required Minimum 1-year experience with medical coding and familiarity with medical terminology is required. Medicare and Medicaid coding experience with a working knowledge of compliance, federal and state rules and regulations required Minimum 1 year experience with electronic health records systems required Associates degree in a related field preferred CPC- Certified Professional Coder or CCS-P through AHIMA required within 6 months of hire Risk Management coding experience preferred