<h3>Job Description</h3>
About Us
Located in Wichita, KS, Kansas Spine &amp; Specialty Hospital (KSSH) is a regional center for the diagnosis and treatment of disorders of the spine, neck and joint. Dedicated to improving the quality of life of our patients, Kansas Spine practices a team approach, providing patients with access to a specialized team of surgeons, anesthesiologists, neuroradiologists, internal medicine physicians and nurses.

Overall Responsibility:
The Medical Coder will be responsible for coding professional services at our high-volume pain management practice. The Medical Coder will review medical record documentation and assign accurate diagnosis and procedure codes for services provided by physicians and other qualified healthcare professionals. The Medical Coder will perform analysis of medical records to ensure completeness and other HIM duties for both practice and hospital medical records. 
Remote work is a possibility for experienced coders but must have ability to work onsite in Wichita, KS, as needed.
Key Responsibilities:
<ol>
<li>Provides appropriate CPT and ICD-10 codes for professional services and office procedures, focusing on Evaluation and Management encounters and pain management procedures. </li>
<li>Provides assistance to providers with coding updates and/or changes and education.</li>
<li>Assists billing office staff in a timely manner with coding related denials, questions, and education.</li>
<li>Performs coding analysis, conducts audits of patient charts for coding assessment and compliance purposes, and provides related results and education to providers.</li>
<li>Performs analysis on hospital medical records for physician deficiencies and enters and/or removes deficiencies in EMR. Notifies physicians and other health care professionals of deficiencies. Maintains confidentiality of patient and hospital related business.</li>
<li>Reviews daily transcribed documents for all clinic and hospital encounters, ensures accuracy and updated deficiency list once completed. Transcribed documents are noted as completed. </li>
<li>Can assist with appropriately assigning codes for inpatient, outpatient and pain management procedures completed for hospital encounters, on an as needed basis. </li>
<li>Maintains knowledge of current state and federal coding guidelines.</li>
<li>Maintains education requirements for credentials.</li>
</ol>
Licensure and Certification:
<ul>
<li>Registered Health Information Technician (RHIT) or </li>
<li>Registered Health Information Administrator (RHIA) or </li>
<li>Certified Coding Specialist (CCS) or </li>
<li>Certified Coding Specialist-Physician-based (CCS-P)</li>
</ul>
Required Skills, Education and/or Experience:
<ul>
<li>Associate's Degree in Health Information Technology preferred</li>
<li>Two years professional and E&amp;M coding experience required, pain management and coding experience preferred </li>
<li>Must be knowledgeable of insurance payors </li>
<li>Ability to prioritize, work independently, and communicate (orally and written) effectively</li>
<li>Interpersonal skills to interact with other staff and outside contacts </li>
<li>Good customer service skills</li>
<li>Proficiency in using 3M coding software and electronic health record systems. </li>
</ul>
Job Posted by ApplicantPro

Medical Coder

<h3>Job Description</h3>
Healthcare Staffing Professionals, Inc. (HSP) is looking to hire a Medical Coder in San Diego, CA. The Medical coder should have knowledgeable in all aspects related to medical coding and billing and must be up to date with the latest changes in rules, guidelines and policies from CMS, AMA and DHCS . This position is contracted until 12/31/2023 with potential of renewal. Pay Rate: $25/hr Benefits: Healthcare, Dental, Vison, Life Insurance and 401k Job Description: Knowledgeable about all work related to medical coding and billing, including all changes in rules, guidelines and policies from CMS, AMA and DHCS. Knowledgeable of the process myriad of completed encounter form, superbills, including DOTs (Direct Observe Therapy) for completeness and accuracy. Know how to assist field crew in obtaining insurance information for client and if not insured walk them through the process. Know how to assist clinic and field staff on verification of eligibility and accurate demographics information to help solve any discrepancies.. Being able to guide field crew in solving clients medical information and needs to be able to continue treatment. Know how to communicate updates on new rules, guidelines and policies on coding and billing. Knowledgeable about how to Audit all encounters forms, superbills for accuracy and completeness of demographic information, medical procedures, and diagnosis codes. Know how to communicate to clinic and field crew any updates, correction, on guidelines and requirements for processing claims for reimbursement. Responsible for updating encounter/superbill to be in line with latest changes to medical documentation, coding, and billing.

<h3>Job Description</h3>
Healthcare Network (HCN) is a Federally Qualified Health Center (FQHC) serving as the medical home for patients from birth to geriatric. We provide quality medical, dental and behavioral health services through board certified physicians and evidence-based practices to ensure that the whole patient receives quality care, regardless of insurance or income status.
We seek individuals to join our team of caregivers who are passionate about their community and the health and wellbeing of those who live and work here. Bilingual candidates are preferred, as the majority of our patients' first language is not English.
In return for your expertise, HCN offers a highly competitive wage and benefit package for our full-time employees. We offer: Competitive pay; eleven paid holidays (New Year's, MLK, Good Friday, Memorial, July 4th, Labor, Indigenous People's Day, Thanksgiving/Day after; Christmas Eve; Christmas); Paid Time Off bank of 10 days within first year of employment; medical, dental and vision insurances; life insurance (company-paid); 403b savings plan; 401a company-sponsored pension plan with up to 8% contribution; and other miscellaneous benefits.
We are currently hiring for a Coder for our Coding Office, located in Naples FL.
Job Posted by ApplicantPro

<h3>Job Description</h3>
Benefits/Perks
<ul>
<li>Flexible Scheduling</li>
<li>Competitive Compensation</li>
<li>Careers Advancement</li>
</ul>
Job Summary We are seeking a Medical Coder to join our team. In this role, you will transcribe patient records and process claims for reimbursements. You will be responsible for selecting the correct codes and functions to be assigned to each instance. The ideal candidate is detail-oriented with strong people skills and computer skills.
Responsibilities
<ul>
<li>Account for coding and abstracting of patient medical appointments</li>
<li>Research and analyze data needs for reimbursement</li>
<li>Ensure codes are properly sequenced</li>
<li>Analyze, file, and process medical records</li>
<li>Keep detailed documentation of any deficiencies or issues with medical records</li>
<li>Provide education and training to other coding staff</li>
<li>Review and verify documentation</li>
</ul>
Qualifications
<ul>
<li>High school diploma/GED or equivalent</li>
<li>Previous experience as a Medical Coder or in a similar position</li>
<li>Familiar with coding software and other computer programs</li>
<li>Strong written and verbal communication skills</li>
<li>Highly organized and able to problem-solve</li>
<li>Ability to adhere to strict confidentiality guidelines</li>
</ul>

<h3>Job Description</h3>
Description:
This position reviews and analyzes documentation of outpatient services and coding of those services to ensure accurate, complete and effective billing for services. The position will train providers and billing staff in best practices for medical coding of services, and document processes for clarity and consistency. 
Requirements:
Responsibilities and Standards:
· Receive and review patient charts and documents for accuracy
· Ensure that all codes are current and active
· Report missing or incomplete documentation
· Ensure proper coding on provider documentation
· Maintain documentation of coding protocols and serve as a reference to providers and billing staff
· Train new providers and billing staff on coding processes and protocols
· Serve as a resource regarding insurance resolutions and coding questions
· Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
· Performs other duties as assigned.

Job Specifications:
· Efforts are generally responsive to work flow, must be able to work independently and prioritize work on a daily or weekly basis, subject to occasional reprioritization by others
· Impact of work performance could result in a noticeable impact in the organization and may involve management attention.
· May be required to perform the duties of other employees, including supervisors/managers, in their absence.
· May be required to perform duties and responsibilities not listed in this description, on a temporary or long-term basis. 

Education/Training Level:
· High School Degree or equivalent; Bachelor’s degree in related field preferred. Experience may substitute some education.
· Two (2) years of medical coding experience

Licenses and Certifications: 
· Medical Coding Certificate; RHIT or CPC; must meet state licensure requirements
· Maintain coding certification and attend in-service training as required. 
· Experience with behavioral health services preferred

Communication Skills:
Understanding of medical terminology, anatomy, physiology and mental health
· Excellent verbal and written communication 
· Goal-oriented, organized team player

Technology Skills:
· Effectively uses Electronic Health Records
· Accurate and precise attention to detail
· Ability to multitask, prioritize, and manage time efficiently
· Strong computer skills in data entry, coding, and Microsoft office software

<h3>Job Description</h3>
PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
The Lead Medical Coder serves as a certified professional coder and assists the Medical Coding Office Manager with oversight of daily coding operations. Performs the full range of coding, assigns ICD, CPT, HCPCS, and medical inpatient codes; abstracts data from the record; performs chart analysis, research coding issues; peer reviews; and serves as a medical documentation and coding technical expert to TONHC providers.
Scope of Work: This position is located within Tohono O'odham Nation Health Care (TONHC). The work involves performing specialized medical record tasks and resolving problems using established processes, coding conventions, and guidelines. Performance of duties reflects directly on patient care by recording services performed on the patient. The incumbent works independently under the general supervision of the Supervisor or designee.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
<ul>
<li>Assists with the leadership and guidance to the day-to-day inpatient and outpatient medical coding service and staff.</li>
<li> Assigns codes to diagnosis and procedures using ICD (International Classification of Diseases), HCPCS (Healthcare Common Procedure Coding System), and CPT (Current Procedural Terminology) codes.</li>
<li>May be assigned to medical inpatient coding; reviews physician's patient medical documentation and determines the most appropriate corresponding code.</li>
<li>Performs the full range of coding per current ICD coding conventions and the official coding guidelines under Federal, State, and Cooperating Parties.</li>
<li>Ensures codes are accurate and sequenced correctly per government and insurance regulations.</li>
<li>Reviews Electronic Health Record (EHR) data and ensures providers and other clinicians assign the appropriate ICD codes; follows up with the provider on insufficient or unclear documentation.</li>
<li>Assigns the appropriate CPT code for all outpatient medical, surgical, non-physician professional services, and diagnostic services.</li>
<li>Utilizes the CPT Assistant or other coding software to assist in the proper use of codes.</li>
<li>Observes the coding rules established by AMA (American Medical Association).</li>
<li>Assigns the appropriate HCPCS code for items, supplies, and non-physician services used in reimbursement claims processing.</li>
<li>Appropriately assigns modifiers to codes and verifies site, unit number, and location of services based on the documentation of the record.</li>
<li>Assigns and reports codes clearly and consistently supported by physician documentation in the health record.</li>
<li>Assists and educates physicians and other clinicians in proper documentation practices, further specificity, sequencing, or inclusion of diagnoses or procedures to reflect acuity, severity, and other events.</li>
<li>Establishes a working relationship with providers; consults physicians and other clinicians for clarification and additional documentation before code assignment when necessary.</li>
<li>Work with computerized information systems, including an electronic health record, encoding software, the internet, and other software applications.</li>
<li>Maintains and enhances coding skills, stays abreast of changes in codes, coding guidelines, and regulations.</li>
<li>Abstracts and enters all data for coding, billing, GPRA indicators and CMS, The Joint Commission (TJC), and the governmental reporting process.</li>
<li>Abstracts and enters all data into a computer system for statistical purposes, third-party billing, and continuity of patient care.</li>
<li>Provide analysis of documentation and coding issues regarding areas of concern of the health record, including lack of documentation, legibility, system issues, EHR, and other matters.</li>
<li>Assists with the formulation of query forms and formats for providers to be used for clarification and documentation.</li>
<li>Identifies inconsistencies within the medical record and participates in QA functions and peer reviews.</li>
<li>Participates in developing hospital and health centers coding policies and ensuring coding policies complement the official rules and guidelines.</li>
<li>Assist with technical issues within the computer systems, including the EHR.</li>
<li>Assist in maintaining and updating the ADT and PCC software packages.</li>
<li>Provides expertise and support in EHR development and maintenance of charge lists, pick lists, templates, and subject matter experts.</li>
<li>Monitors and reports any discrepancies in the EHR in regards to proper code assignments.</li>
<li>Ensures the quality of data in information systems by conducting audits and continuously analyzing the data.</li>
<li>Attends meetings and serves as a resource person for coding.</li>
<li>Assists with coding and training of coworkers, providers, contractors, student interns, and other employees.</li>
<li>Serves as a resource for PCC data entry staff, assisting with coding, EHR; and, documentation issues.</li>
<li>Contributes to a team effort and performs other job-related duties as assigned</li>
</ul>
Knowledge, Skills, and Abilities:

<ul>
<li>Knowledge of the Tohono O'odham culture, customs, and traditions.</li>
<li>Knowledge of applicable federal, state, tribal laws, regulations, and requirements.</li>
<li>Knowledge of computer software, including word processing, database, and spreadsheet application.</li>
<li>Knowledge of legal regulations and requirements on confidentiality, specifically to the Privacy Act of 1974 and Health Insurance Portability and Accountability Act of 1996 (HIPAA).</li>
<li>Knowledge of and skill in applying a comprehensive body of rules, procedures, and operations, such as health information management, medical records activities, and computerized data entry and retrieval systems.</li>
<li>Knowledge of official coding conventions and guidelines established by the AHIMA, AHA, CMS, NCHS, etc.</li>
<li>Knowledge of ICD/CM (International Classification of Diseases/Clinical Modification), and HCPCS (Healthcare Common Procedure Coding System), CPT (Current Procedural Terminology) appropriate Level coding.</li>
<li>Knowledge and understanding of Diagnostic Related Group (DRG) and Ambulatory Patient Classification (APC) systems and associated encoding software applications.</li>
<li>Ability to abide by and promote compliance with the AHIMA Standards of Ethical Coding and with the Compliance Plan and Coding Compliance Plan of the TONHC Hospital and Clinics; and the Internal Control Policy of IHS.</li>
<li>Knowledge of the healthcare industry pertains to the functions of the position, capacity, and willingness to obtain continuing education required to maintain certification and stay apprised of changes in coding and the health care industry.</li>
<li>Knowledge of pharmacology, including the ability to reference the Physician's Desk Reference (PDR).</li>
<li>Knowledge of the RPMS software program, specifically the PCC, ADT, Scheduling, and EHR applications.</li>
<li>Knowledge and ability to use computers, scanners, and reference materials for day-to-day tasks within the hospital.</li>
<li>Knowledge of and ability to conduct chart reviews and coding audits to ensure accuracy and appropriate coding and compliance with rules and regulations.</li>
<li>Ability to use standardized computer software such as spreadsheets, word processors, electronic email systems, and database software programs.</li>
<li>Skill and commitment to accuracy and detail.</li>
<li>Skill in providing superior customer service to external and internal customers.</li>
<li>Skill in operating various word-processing, spreadsheets, and database software programs.</li>
<li>Skill in organizational and office technology.</li>
<li>Ability to communicate effectively with others, orally and written.</li>
<li>Ability to prepare reports in a well-written, concise format using applicable software applications.</li>
<li>Ability to generate reports and analyze data from these systems.</li>
<li>Ability to establish performance improvement functions, track and report outcomes and conclusions or follow up orally and in writing.</li>
<li>Ability to organize and plan work.</li>
<li>Ability to deal with individuals from a variety of diverse backgrounds.</li>
<li>Ability to work independently, use sound judgment, and meet deadlines.</li>
<li>Ability to provide accurate reports.</li>
</ul>
Minimum Qualifications:
<ul>
<li>High School Diploma or General Education Diploma.</li>
<li>Three years of work experience in medical coding or billing.</li>
<li>Six months supervisory or leadership work experience in an office setting.</li>
</ul>
Licenses, Certifications, Special Requirements:
<ul>
<li>Must possess and maintain certification as a Certified Coder certificate from the American Academy of Professional Coders or the American Health Information Management Association, or equivalent.</li>
<li>Must type 40 WPM.</li>
<li>Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.</li>
<li>May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).</li>
<li>If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.</li>
<li>Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.</li>
</ul>

Lead Medical Coder

<h3>Job Description</h3>
Benefits:
<ul>
<li>401(k)</li>
<li>401(k) matching</li>
<li>Dental insurance</li>
<li>Health insurance</li>
<li>Paid time off</li>
<li>Vision insurance</li>
</ul>
Benefits/Perks
<ul>
<li>Flexible Scheduling</li>
<li>Competitive Compensation</li>
<li>Careers Advancement</li>
</ul>
Job Summary We are seeking a Medical Coder to join our team. In this role, you will transcribe patient records and process claims for reimbursements. You will be responsible for selecting the correct codes and functions to be assigned to each instance. The ideal candidate is detail-oriented with strong people skills and computer skills.
Responsibilities
<ul>
<li>Account for coding and abstracting of patient medical appointments</li>
<li>Research and analyze data needs for reimbursement</li>
<li>Ensure codes are properly sequenced</li>
<li>Analyze, file, and process medical records</li>
<li>Keep detailed documentation of any deficiencies or issues with medical records</li>
<li>Provide education and training to other coding staff</li>
<li>Review and verify documentation</li>
</ul>
Qualifications
<ul>
<li>High school diploma/GED or equivalent</li>
<li>Previous experience as a Medical Coder or in a similar position</li>
<li>Familiar with coding software and other computer programs</li>
<li>Strong written and verbal communication skills</li>
<li>Highly organized and able to problem-solve</li>
<li>Ability to adhere to strict confidentiality guidelines</li>
</ul>

<h3>Job Description</h3>
Zwanger-Pesiri Radiology is hiring for Medical Coders.
Radiology experience preferred
Tuesday through Saturday 8:30am - 4:30pm
Farmingdale, NY
*In office position only*
Coder job responsibilities:
<ul>
<li>Reading and analyzing patient records</li>
<li>Determining the correct codes for patient records</li>
<li>Using codes to bill insurance providers</li>
<li>Interacting with physicians</li>
<li>Keeping track of patient data over multiple visits</li>
<li>Managing detailed, specifically-coded information</li>
<li>Maintaining patient confidentiality and information security</li>
<li>Collaborate with the billing department to ensure all documentation is accurate and precise</li>
</ul>
Essential duties: 
<ul>
<li>CPC certification required </li>
<li>Familiarity with ICD-10 codes and procedures</li>
<li>Working knowledge of medical terminology and anatomy preferred </li>
<li>Excellent typing skills </li>
<li>Proficient computer skills</li>
<li>Ability to communicate, both verbal and written </li>
</ul>

<h3>Job Description</h3>
Salary: $22.00; DOE
MNA Delivers leadership, support, and guidance to healthcare facilities of all sizes across multiple specialists with the primary goal of providing accessibility, value, and quality medical administrative support services.

What You’ll Do: 
As a certified coding professional for our organization, you must be able to prepare and submit medical claims for further processing throughout EMR to the clearinghouse. The individual must know current payer rules and regulations and, basic payer edits, CCI edits. Coding professionals will have the decision-making skills to resolve claim denials and work alongside the team to maintain timeliness, accuracy, compliance, and standards. Coding staff work on claim denials and aging claims with payers to achieve standard coding benchmarks.
<ul>
<li> Create and scrub medical claims through EMR software, reviewing for accuracy and coding to the highest specificity.</li>
<li> Review claims to ensure coding edits are applied and follow current payer policies.</li>
<li> Ensure denials or rejections are reviewed in a timely manner and pushed back out to the payer for appeal processing timelines.</li>
<li> Accurately enter and balance daily payment activities (credit, insurance, check, electronic funds transfer, etc.) into EMR software.</li>
<li> Reconciling and submitting to accounting daily.</li>
<li> Ensure thorough documentation of all correspondence with patients, insurance, and vendors.</li>
<li> Ensure credit balances are handled timely and accurately.</li>
<li> Research, record findings, and communicate effectively with manager and client to achieve optimum performance.</li>
<li> Identify trends and carrier issues relating to billing and reimbursements and communicate to the manager.</li>
<li> Communicate with internal and external customers via phone calls and written communications related to patient accounts.</li>
<li> Communicate with insurance companies to determine proper reimbursement.</li>
<li> Maintain patient confidence and protect medical office operations by keeping patient information confidential.</li>
</ul>

What You Need For This Job:
<ul>
<li> High School Diploma or general education degree</li>
<li> AAPC Certification: CPC or CPC-A is required</li>
<li> One to three months related experience and/or training; or equivalent combinations of education and experience.</li>
<li> Must reside in or near Wasilla, Alaska.</li>
<li> Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.</li>
<li> Ability to write routine reports and correspondence.</li>
<li> Ability to speak effectively before groups of customers or employees of the organization.</li>
<li> Ability to add, subtract, multiple and divide in all units of measure, using whole numbers, common fractions and decimals.</li>
<li> To perform this job successfully, an individual should have knowledge of Database software, internet software and work processing software.</li>
<li> Ability to regularly sit, stand, walk, use hands, or feel and talk and hear. Ability to occasionally sit, reach with hands and arms; stoop; kneel; crouch, or crawl.</li>
<li> Must be able to lift and/or move 25 lbs.</li>
<li> Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception, and the ability to adjust focus.</li>
<li> The noise level in the work environment is usually moderate.</li>
</ul>
Reasonable accommodations may be made to enable individuals with a disability to perform essential functions.
What You’ll Love About Us:
<ul>
<li> Great Company Culture.</li>
<li> Make an impact. We are about your individuality by giving you the freedom to grow and create within the company.</li>
<li>Rest and Relaxation. 15 days of paid time off, and six paid holidays.</li>
<li>Health Benefits. Medical with MODA, HSA options, dental, and vision. Short/long-term disability. Gym Membership.</li>
<li>Prepare for the future. 401(k) with a generous company match, access to a personal financial planner, and life insurance with $20,000 provided.</li>
<li>Healthy Working Environment. Operate in an environment that is safe, empowering, and satisfying.</li>
</ul>

Because our team members are trusted to handle sensitive information, we require all candidates that receive and accept employment offers to complete a background check and drug screen before official employment. 

Medical Network of Alaska, LLC is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Certified Medical Coder

<h3>Job Description</h3>
Job Summary: 
Primary responsibilities of the certified medical coder duties in support of the Oyate Health Center (OHC) Patient Accounts Department, facilitating and is responsible for converting medical diagnosis, supplies and processes into standardized codes that are used when filing insurance claims, to ensure compliance with Medicare, Medicaid, and private insurance rules and regulations. 
Essential Functions:
<ul>
<li>Knowledge of Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH). </li>
<li>Knowledge of medical records requirements and functions.</li>
<li>Knowledge of ICD-10 (International Classification of Diseases), CPT 4 (Current Procedural Technology) and HCPCS (Healthcare Common Procedure Coding System) coding guidelines.</li>
<li>Analyzes and abstracts all necessary information from the record to reflect secondary complications and co-morbidity conditions.</li>
<li>Codes diagnosis and/or procedures from the medical records, and assures the final diagnosis and procedures as stated by the medical provider are valid and complete.</li>
<li>Codes complex and difficult records accurately; makes complete and accurate selection of the principal diagnosis and principal procedure/operation; diagnosis codes are sequenced properly; and assures that all orders (medication, lab, and radiology) have been documented properly to support level of services and reflect the medical necessity for the order.</li>
<li>Assures the presence of all components of the record, including correct identification, health record number, signatures, dates, accurate and complete notes (chief complaint, history of present illness (HPI), review of systems, examination, and assessment and plan are completely documented. </li>
<li>Analyzes and abstracts all necessary information from the record to reflect secondary complications and co-morbidity conditions.</li>
<li>Codes diagnosis and/or procedures from the medical records, and assures the final diagnosis and procedures as stated by the medical provider are valid and complete.</li>
<li>Codes complex and difficult records accurately; makes complete and accurate selection of the principal diagnosis and principal procedure/operation; diagnosis codes are sequenced properly; and assures that all orders (medication, lab, and radiology) have been documented properly to support level of services and reflect the medical necessity for the order.</li>
<li>Assures the presence of all components of the record, including correct identification, health record number, signatures, dates, accurate and complete notes (chief complaint, history of present illness (HPI), review of systems, examination, and assessment and plan are completely documented. </li>
<li>Examines the level of services to ensure it is accurate and appropriate for the documentation in the note and when appropriate modify level of service.</li>
<li>Completes medical record by reviewing information; notifying health care providers of record deficiencies; tracking outstanding records; and resolves medical record discrepancies by collecting and analyzing information.</li>
<li>Incumbent works independently. Takes the initiative to communicate with Providers and Billing staff on coding/documentation issues.</li>
<li>Participates on performance improvement teams and other committees as assigned.</li>
<li>Must comply with federal laws and regulations as required by the Health Insurance Portability and Accountability Act (HIPAA).</li>
<li>Performs related duties.</li>
</ul>
Professional Behavior 
<ul>
<li>Effectively plan, organize workload, and schedule time to meet the demands of the position.</li>
<li>Work in a cooperative and professional manner with OHC and GPTCHB staff.</li>
<li>Treat Great Plains tribes and collaborators with dignity and respect.</li>
<li>Utilize effective verbal and written communication skills.</li>
<li>Advance personal educational development by attending training sessions and seminars as appropriate.</li>
<li>Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors, and guests. </li>
<li>Foster a work environment of wellness, courtesy, friendliness, helpfulness, and respect. </li>
<li>Relate well and work collaboratively with coworkers and all levels of staff in a professional manner. </li>
<li>Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age, sexual orientation and/or personalities. </li>
<li>Maintain and ensure organizational privacy and confidentiality. </li>
<li>Handle crisis and tolerate stress professionally.</li>
<li>Be self-directed and take proactive initiative to assist others. </li>
<li>Resolve issues with other departments and coworkers without direct supervision if needed. </li>
<li>Exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment. </li>
<li>Promote an alcohol, tobacco, and drug-free lifestyle.</li>
<li>Embrace modes of appearance and attire that reflect a professional presence. </li>
<li>Adhere to GPTLHB policies and procedures. </li>
<li>Other duties as assigned by the Supervisor</li>
</ul>
Requirements
<ul>
<li>Participates in Core Connections training and applies GPTLHB Core Connections concepts and practices in their work. </li>
<li>Knowledge of federal, state, and local regulations affecting areas of responsibility.</li>
<li>Knowledge of occupational health, safety and environmental compliance program management principles.</li>
<li>Knowledge of industrial hygiene, environmental and safety engineering, and fire protection.</li>
<li>Knowledge of local, state and federal occupational safety and health regulations.</li>
<li>Knowledge of job hazard analysis and other analytical techniques. </li>
<li>Knowledge of accident prevention principles.</li>
<li>Knowledge of safety inspection principles.</li>
<li>Knowledge of computers and job-related software programs.</li>
<li>Skill in decision-making and problem-solving.</li>
<li>Skill in managing multiple projects.</li>
<li>Skills in oral and written communication.</li>
<li>Skill in prioritizing and planning.</li>
<li>Skill in interpersonal relations.</li>
<li>Skill in the use of such office equipment as a computer, scanner, fax machine, and copier.</li>
</ul>
Supervisory Controls
The work is closely controlled through the structured nature of the work itself, the circumstances in which it is performed, or by the supervisor through review of the work. 
The supervisor assigns specific tasks (one-of-a-kind and repetitive) and provides clear, detailed, and specific instructions. The employee works as instructed and consults with the supervisor as needed on all matters not specifically covered in the original instructions or guidelines.
The supervisor reviews the work by checking progress or reviewing completed work for accuracy.
Guidelines
Very specific, detailed guidelines covering all important aspects of the assignment, including instructions on how to complete the assignment, are provided to the employee. The employee works in strict adherence to the guidelines; any deviations must be authorized by the supervisor.
Complexity/Scope of Work
The work consists of related steps, processes, or methods. The decision regarding what needs to be done involves various choices that require the employee to recognize the existence of and differences among a few easily recognizable situations. Actions to be taken or responses to be made differ in such things as the source of information, the kind of transactions or entries, or other differences of a factual nature. 
The work involves the execution of specific rules, regulations, or procedures and typically comprises a complete segment of an assignment or project of broader scope. The work product or service affects the accuracy, reliability, or acceptability of further processes, services, and/or patient care. 
Personal Contacts
The personal contacts are with employees within the department, office, project, or work unit, and in related or support units. The contacts are with other employees, patients and other customers, and members of the general public in very highly structured situations. The purpose of the contact and the question of with whom to deal are relatively clear. 
Purpose of Contacts
The purpose is to obtain, clarify, or give facts or information regardless of the nature of those facts; i.e., the facts or information may range from easily understood to highly technical. 
Work Environment/Physical Demands
The work involves moderate risks or discomforts that require special safety precautions, e.g., working around moving parts, carts, or machines; exposure to contagious diseases or irritant chemicals. Employees may be required to use protective clothing or gear, such as masks, gowns, coats, boots, goggles, gloves, or shields. 
The work requires some physical exertion, such as long periods of standing; walking over rough, uneven, or rocky surfaces; recurring bending, crouching, stooping, stretching, reaching, or similar activities; or recurring lifting of moderately heavy items. The work may require specific, but common, physical characteristics and abilities, such as above average agility and dexterity. The employee must be able to read, write, speak and hear.
Supervisory and Management Responsibility
This position has no formally assigned supervisory responsibility or authority. The employee is responsible only for the performance of their own assigned work. They may be asked to train new employees in the fundamentals of the jobs or to participate in cross‑training of other employees in the department, but such assignments do not include the on‑going authority to assign and review work of other employees or to recommend or take corrective action with regard to other employees' performance. 
Minimum Qualifications
Education/Relevant Experience: Completion of a formal training program or an associate’s degree and one (1) year of relevant experience; or a high school diploma or GED and three (3) years of relevant experience. 
Certification: Certified Medical Coding Certification
Individuals must have applicable education or experience applying a body of standardized rules, procedures, or operations to perform the full range of standard clerical assignments and resolve recurring problems or to operate and adjust varied equipment for purposes such as performing numerous standardized tests or operations. 
The GPTLHB is a tribal organization that follows tribal preference laws. Our policy is to give preference to qualified Indian/Tribal candidates overqualified non-native candidates in hiring decisions if all other qualifications are equal.
Employment is contingent upon the outcome of all required criminal background checks and pre-employment drug screen.

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