Coder, Certified, Health Information Management, Full Time, Day
Valley Health System
Summary
Conducts reviews and provides recommended corrections of billed services as it relates to clinical documentation for the VMG enterprise. Assists in the reviews and responses to payor and governmental audits of billed services. Assists the CBO in replying to payor denials and patient inquiries as it relates to services billed. Reviews and researches new coding guidelines and codes. Assists the staff of the VHS corporate compliance.
Job description
Position Summary
Conducts reviews and provides recommended corrections of billed services as it relates to clinical documentation for the VMG enterprise. Assists in the reviews and responses to payor and governmental audits of billed services. Assists the CBO in replying to payor denials and patient inquiries as it relates to services billed. Reviews and researches new coding guidelines and codes. Assists the staff of the VHS corporate compliance.
Education
CPC (AAPC) required. Degree in Health Services Management, Business or other related field preferred. Extensive knowledge of ICD-10 CM and CPT coding principles and guidelines required. Extensive knowledge of reimbursement systems required.
Experience
Eight to ten years' experience (college degree can be substituted for years of experience) and expertise in ICD-10 CM Coding.
Special Skills
Medical Terminology, ICD-10 CM and CPT-4 Coding, Ability to relate to people and work closely with physicians and other VMG staff. Computer skills and knowledge of practice management software.
Requirements
- CPC (AAPC) certification required
- Extensive knowledge of ICD-10 CM coding principles and guidelines
- Extensive knowledge of CPT coding principles and guidelines
- Extensive knowledge of reimbursement systems
- Eight to ten years' experience in ICD-10 CM Coding
- Medical Terminology
- Ability to relate to people and work closely with physicians and other staff
- Computer skills and knowledge of practice management software
Benefits
- Medical, Dental & Vision
- Group Term Life & AD&D
- Flexible Spending Accounts
- Commuter Benefit Plans
- Short-term & Long-term Disability
- Whole Life Insurance
- Legal Support
- 6 Paid Holidays
- Paid Time Off
- Wellness Time Off
- Extended Illness
- Retirement Plan
- Tuition Assistance
- Employee Assistance Program
- Fitness Center Discount
- Day Care Discounts
Company overview
The Valley Health System is an integrated healthcare network serving Las Vegas and Southern Nevada, operating as a subsidiary of Universal Health Services, Inc. (UHS). Established in 1979, the system has grown to become the largest provider of healthcare services in Southern Nevada, serving over two million residents across the region. The network comprises six acute care hospitals, two specialty hospitals, seven freestanding emergency departments, and numerous outpatient facilities and physician practices. Key hospitals include Centennial Hills Hospital Medical Center, Henderson Hospital, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center, Valley Hospital Medical Center, and West Henderson Hospital. The system offers comprehensive medical services including emergency care, cardiovascular services, neurosciences, maternity and women's health, orthopedics, oncology, behavioral health, and specialized programs in stroke and heart attack care. All Valley Health System hospitals are accredited by The Joint Commission and consistently earn national recognition for quality care, with certifications from the American Heart Association and American Stroke Association. The organization employs over 9,000 healthcare professionals dedicated to providing patient-centered care while also serving as a teaching institution with graduate medical education programs and clinical training opportunities for future healthcare providers.