Medical Coder

Salem Clinic Inland Shores | 5900 Inland Shores Way N, Keizer OR 97303

The Medical Coder plays a critical role in the healthcare industry by accurately translating patient medical records into standardized codes used for billing and insurance purposes. The Medical Coder will accurately assign a CPT code(s), HCPCS code(s), CPT-4 modifier(s) and all applicable ICD-10-CM codes to all assigned patient encounters and procedures in a timely manner and carefully review all tasks in assigned billing queue and return appropriate coding to HPS in a timely manner. To provide feedback on documentation opportunities to Director of EHI and nursing administration as appropriate. To support quality efforts via coding for HCC/RAF, adding CPT-II code(s) and working to close HCC gaps on payer portals.

• Completion of high school or equivalent
• Completion of course in health information management (claims analyst/medical biller/medical coding).
• Must have working knowledge of CPT, CPT-II, CPT-4, HCPCS and ICD-10-CM codes.
• Ability to communicate clearly, professionally and courteously; effective listening, writing, spelling, and reading skills. Communication skills must support face-to-face, telephone and written communication methods.
• Ability to follow oral and written instruction.
• Must have knowledge of medical terminology.
• Must have knowledge of human anatomy and physiology.
• Basic computer skills; familiarity with keyboard, 10-key, mouse, word processing and basic Microsoft operating system functionality.
• Ability to work quickly and accurately.
• Ability to interact with coworkers and providers tactfully, to be a team player.

• Completed educational program for medical coding.
• One year experience coding in an ambulatory setting.
• Current coding certification; CCA, CCS-P or CPC.
• Knowledge of office procedures, pathology and medications.
• Knowledge of coding software.

• →Assign ICD-10-CM, CPT, CPT-II, CPT-4 and HCPCS codes to patient encounters and procedures.
• →Receive denials from Health Plan Services, review documentation and supply new appropriate code or thorough explanation as to why the code cannot be changed. 
• →Recognize documentation requirements and assist director with feedback to providers.
• →Meet deadlines set by the Clinic (e.g. close of month). Adherence to Mandatory Overtime protocol if activated.
• →Maintain up-to-date knowledge of coding standards, medical terminology, and industry changes through continuous education.
• →Maintain patient confidentiality.
• →Ability to use Epic, EncoderPro.com, Outlook, Microsoft Excel, and Microsoft Word computer systems. Ability to navigate internet sites to research coding guidelines.
• →Demonstrate telephone skills and good customer service techniques.
• →Flexible response to changing needs and duties within department.