Medical Coder I - Remote
SUMMARY :
Open Door Community Health Centers (ODCHC) relies on billing for services rendered and generated revenue for a significant portion of its operating budget.
ODCHC is committed to proper billing procedures, documentation and review in compliance with federal and state laws and regulations and private payor requirements.
The Coder I Medical, working in collaboration with other Billing and Coding staff and the Coding Manager, is responsible for ensuring that documentation submitted by providers are accurately coded, including a congruence of final diagnoses, professional services, and procedures.
As needed, Coder I will query providers as needed to resolve discrepancies in documentation, apply proper assignment of ICD, CPT and HCPCS codes and / or perform coding addendums to assure timely reimbursement.
ESSENTIAL DUTIES AND RESPONSIBILITIES : These essential responsibilities are performed within the context of collaboration and coordination with ODCHC’s Finance Department.
- Processes encounters submitted to Coder Review Work Queue to ensure congruent coding and documentation.
- Performs comprehensive review of documentation and other records to ensure documentation, signatures, dates, results and other documents are complete and that all services and supplies are included.
- Reviews encounters to ensure ICD diagnosis codes, CPT codes, HCPCS codes are supported and in compliance with payer’s coding and billing requirements or reassigns per documentation.
- Reviews charge sheet to ensure correct code assignments based on internal and / or external documentation.
- Collaborates with other coders and billers to resolve questions and discrepancies and foster quality and team work within the Coding Department;
reports workflow and processing concerns related to PMS and EMR to Coding Manager.
- Attends trainings as assigned and shares information with others as appropriate.
- Mentors others on coding topics and workflows.
- Adherence to ODCHC policies and protocols.
- Other related duties as identified, assigned and required by Coding Manager.
QUALIFICATIONS : The successful candidate will possess experience and skills spanning a variety of areas :
- Have and maintain Medical Coding Certification (COC, CPC or CCS preferred) and meet standards in accordance with Professional Member’s Code of Conduct.
- Computer and computer application skills sufficient to accurately and efficiently use databases, spreadsheets, practice management and electronic health records systems, auditing and word processing software as required.
- Strong interpersonal skills and ability to establish constructive working relationships within the ODCHC Finance Department and with providers and other clinical staff.
- Ability to read, analyze and discuss moderately complex instructions, regulations and documents.
- Ability to prepare routine reports and correspondence.
- At least one year of related experience and / or training in clinical documentation improvement, coding, medical billing and / or auditing.
- Ability to multi-task, work independently, address problems, handle complex situations in a calm manner, and work under time pressures and with diverse colleagues.
SUPERVISORY RESPONSIBILITIES : The Coder I Medical is a non-supervisory position.
SUPERVISION AND SUPPORT : The Coder I Medical reports directly to the Coding Manager. Significant collaboration with other members of the Finance Department is required.
PHYSICAL REQUIREMENTS : This is largely an office-based position. The physical requirements described are representative of those needed to successfully perform the essential duties of the position.
Reasonable accommodation will be made to allow otherwise qualified candidates to perform these functions.
- Speaking and hearing sufficient to communicate effectively by telephone, video or in-person at normal volumes.
- Vision adequate to read documents, computer screens, forms and designs and to differentiate colors as necessary.
- Ability to travel locally.
- Ability to lift and carry boxes and other items weighing up to 25 pounds.
- Ability to sit or stand for extended periods of time.
- Ability to use keyboard and view computer screens for extended periods of time.
Location : Remote or Hybrid or Onsite
Hiring Range $21.23 to $25.46
Position Requirements Wage Range Hiring Range $21.23 to $25.46 EOE Statement Open Door is an equal opportunity employer.
All applicants will be considered for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, medical condition, age, pregnancy, marital status, ancestry, veteran or disability status.
Medical Assistant
SUMMARY :
Medical Assistants are an important part of the patient care experience and essential to the health care team. From helping the medical provider prepare for the days visits, to checking patients vital signs and listening to and documenting patients concerns, Medical Assistants contribute to patient care and the overall clinic environment.
This is a busy and expanding family medicine practice with a great team and high energy. MAs assist providers in the exam room, implement treatment and care orders and provide follow-up activities, including patient education, conversations and communication.
Attention to detail, cleanliness and organization is needed, the Medical Assistant is responsible for keeping medical areas prepared at all times.
The Medical Assistant needs to possess excellent interpersonal skills and the ability to exercise sound and responsible judgments in high stress situations.
Basic computer skills needed. Completion of an accredited Medical Assistant training program and / or eligibility for certification as a Medical Assistant (including CPR, venipuncture / dermal stick and injection).
Experience in clinic settings is a plus.
LOCATION DISCLAIMER : There may be multiple openings for this role in Humboldt County. By applying to this position, your resume will be shared with all of our hiring managers.
Each of our Health Centers is unique, has a diverse workflow, and organizes interviews separately. We encourage you to interview at multiple locations, if approached to do so, in order to find your best fit within Open Door.
Position Requirements
ESSENTIAL DUTIES AND RESPONSIBILITIES :
Able to demonstrate by end of probationary period)
Interview patients, measure vital signs such as pulse rate, temperature, blood pressure, weight, and height, using the age appropriate tools (auscultator, B / P) to ensure accurate results and record information on patients’ chart.
Chart patients’ chief complaint and able to chart required elements of pt intake, and other basic M.A. charting duties outlined herein.
Perform orthostatic vital signs and document appropriately in EMR.
Basic performance of autoclaving, spore check, cleaning the autoclave, and the proper wrapping / packaging of instruments.
Prepare exam rooms between patient visits and stock patient exam rooms consistently.
Operate electrocardiograph (EKG), oxygen saturation monitors, vision and hearing tests, ear and eye irrigations, peak flow, nebulizer, and sphygmomanometer.
Administer all medications / injections and immunizations per ODCHC policy and as directed by practitioner / registered nurse, using the proper calculations of doses and the seven rights of administration of all medications prescribed.
See Qualifications below .
Set-up, assist and clean up on minor procedures such as pap, wet mount, quick strep, mole removal, minor lacerations, etc.
Set up and assist in age appropriate well child exams / CHDP including immunizations and accurate documentation of information
Follow guidelines for universal precautions including hand washing and use of Personal Protective Equipment (PPE) as appropriate.
Perform HCG, Micral and Rapid Strep and QC according to site specific lab guidelines and proficiently obtain specimens and cultures for the lab.
Obtain diabetic labs at the beginning of patient’s visit (i.e. Dermal stick, HGB, A1c, blood sugar, urine micral) per DM HCM protocol.
Schedule appointments and follow up visits as per clinic procedure.
Keep medical areas clean and properly disinfected following standard practices of medical asepsis, including exam rooms, hallways, and other areas.
Perform chart scrubbing and updating of the Health Care Maintenance function (HCM) in EMR.
Perform EPIC workflows for MA duties including standard intake, telephone call documentation, prepping / routing refill encounters, PHQ, MAR, Meaningful Use and managing staff messages from the provider in basket.
Adhere to ODCHC attendance policy
Maintain a basic understanding of and adherence to HIPAA, HITECH and CA regulations on privacy.
Adhere to the basic MA Scope of Practice in California.
Other duties and responsibilities as designated by supervisor.
QUALIFICATIONS :
Ability and desire to work as a member of a team in order to enhance patient and staff experience and support team decisions.
Effective communication skills, written and verbal.
Basic computer skills; internet, Word and email.
Exercises sound and responsible judgment.
Excellent interpersonal skills. Ability to establish constructive working relationships with all levels of management and employees in a staff of varied and diverse backgrounds.
Ability to handle difficult or confrontational situations in a calm, consistent, and equitable manner.
Ability to consistently and accurately chart patient information.
Ability to promote effective communication between the patient and the primary care provider.
Ability to write routine reports and correspondence.
Basic knowledge of the MA Scope of Practice in California.
Injection Certification obtained by six months of employment. Knowledgeable of all injection locations (i.e. SQ, IM, ID), the seven rights of administration The right medication, the right dosage, the right route, the right site, the right patient, right documentation and right to refuse .
EDUCATION and EXPERIENCE :
High School diploma or GED
Completion of accredited Medical Assistant training program, State Certification or has successfully challenged the state board examination (optional).
Completion of all ODCHC MA Clinical Modules with a score of 75% or higher (by end of first year of employment)
Six months or more related experience and / or training in a medical setting (required).
CERTIFICATES, LICENSES, REGISTRATIONS :
Injection certificate (required)
Current CPR Certification
Medical Assistant Certificate or Certificate of Completion of Accredited Medical Assistant Program (optional))
Venipuncture / dermal stick certification (optional)
PHYSICAL REQUIREMENTS :
- Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. Vision adequate to read medication labels, electronic and written materials, medical equipment readings & results.
- The employee is frequently required to communicate (talk and hear) in person and by phone, at normal volumes.
- Activities include sitting, standing and walking. These activities, to various degrees, extend through all work activities.
Standing and walking are performed frequently throughout the work shift.
- Activities require the employee to continuously and repetitively sit for long periods of time.
- Activities frequently include lifting and / or moving up to 10 pounds and occasionally lift and / or move up to 40 pounds.
- Activities frequently require the employee to use hands & fingers, handle or feel objects or tools, manipulate & operate standard medical equipment including, but not limited to, exam tables, sphygmomanometers, syringes and stadiometers.
The employee frequently is required to reach with hands and arms. Kneeling, crouching, stooping and crawling are required on an occasional basis.
- Activities require the employee to physically assist patients on an occasional basis, when stepping up onto scales, exam tables, to and from a seated position or into positions required for specific procedures.
Receptionist
SUMMARY :
First impressions mean so much. Receptionists greet patients, in-person and on the telephone, make appointments, answer questions, enter and review information in the electronic scheduling and records system and facilitate patient requests for access and information.
Receptionists should be caring and compassionate, able to multi-task, work in a team environment and be committed to helping patients access needed services in a busy environment.
Related experience or training preferred.
Position Requirements
ESSENTIAL DUTIES AND RESPONSIBILITIES :
Checks in patients, greets visitors and routes them to the person who can help them.
Schedules appointments by phone and in person.
Issues billing sheet and other needed forms.Checks patient forms for completeness and accuracy.Obtains consent for treatment.
Determines method of payment and collects necessary information.Reviews registration and determines eligibility for programs in the absence of the eligibility worker.
Updates patient information on computer.Inputs new patient information into computer.
Requests charts when not already pulled, makes new charts, prepares chart for visit by inserting appropriate forms.
Checks patients out and schedules return appointments.
Collects fees and co-payments.
Checks account balances and requests past due payments.
Reviews billing sheets for completeness and sends completed forms to billing.Locates missing billing sheets.
Makes financial arrangements for all SFS and Insurance Patients, forwarding one to billing as instructed and filing one in patient chart.
Posts encounters and payments, reconciles cash collected and runs all end of the day reports.
Answers phones, routes calls and takes messages when clinic operator is not available.Answers patient inquiries or if unable to answer routes question to correct person.
Maintains communication with providers through the Office Manager or Lead Dental Assistants to insure optimum patient flow.
Maintains inventory of forms and orders forms as needed.
Participates in appropriate staff meetings.
Adherence to ODCHC’s attendance policy.
Other duties and responsibilities as designated by supervisor.
QUALIFICATIONS :
Excellent interpersonal skills, written and verbal.Ability to establish constructive working relationships with all levels of employees in a staff of varied and diverse backgrounds.
Ability to handle difficult or confrontational situations in a calm, consistent, and equitable manner.
Ability to read and interpret documents; ability to compose simple correspondence.
Ability to keep records accurately and carefully.
Courteous, efficient manner on telephone and in person.
Ability to prioritize when several tasks are presented at once.
Computer skills, including facility with databases and word processing software.
EDUCATION and / or EXPERIENCE :
High school diploma or GED.
One to three months related experience and / or training.
SUPERVISORY RESPONSIBILITIES :
NONE
PHYSICAL REQUIREMENTS :
Speaking and hearing sufficient to communicate effectively by phone or in person, at normal volumes.
Vision adequate to read correspondence, computer screen, forms, etc.
Good manual dexterity.
Ability to sit for extended periods of time.
Ability to use keyboard and view computer screen for extended periods of time.
Wage Range Hiring Range $18.14 to $22.20 EOE Statement Open Door is an equal opportunity employer. All applicants will be considered for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, medical condition, age, pregnancy, marital status, ancestry, veteran or disability status.