Community Care is a growing non-profit managed care provider dedicated to enhancing the quality of life for adults with disabilities and frail elders by helping them continue to live in the community as independently as possible for as long as possible.

Our interdisciplinary teams of doctors, NPs, RNs, LPNs, social workers, rehab and recreation therapists, pharmacists, dietitians, personal care workers, along with a myriad of others, work together to develop comprehensive, participant-focused plans of care that enable us to achieve our mission.

We currently have an excellent full-time Clinical Coding Specialist opportunity at our 3220 West Vliet Street site!

Job Summary: Under the supervision of the Health Information Systems Manager, is responsible for timely, accurate and comprehensive abstraction of primary care services provided to Community Care participants, utilizing appropriate ICD-9 diagnosis coding. This is accomplished in accordance with applicable federal and state guidelines and regulations, and Community Care policies and procedures.

Duties & Responsibilities:

• Applies knowledge of anatomy and physiology, clinical disease processes, pharmacology and diagnostic and procedural terminology to accurately assign codes to diagnoses.
• Ensures coding supports maximization of reimbursements from Medicare and Medicaid and meets compliance requirements for these programs.
• Assesses the adequacy of health record documentation to ensure that it supports all diagnoses to which codes have been assigned.
• Clarifies conflicting, ambiguous or nonspecific information appearing in the health record by consulting with primary care and nursing staff, as well as other related departments.
• Participates in chart audits for quality assurance to ensure continuous improvement in coding and collection of quality health data.
• Provides ongoing Electronic Medical Record and documentation training for primary care staff to optimize documentation compliance.
• Identifies and presents topics of high priority to the Primary Care Team for training and clarification.
• Compiles, generates and analyzes reports related to diagnoses to formulate recommendations and solutions based on audit trends and results.
• Maintains ongoing communication (verbal, email, updates and stats) with supervisor regarding issues/ exceptions that surface in performance of duties.

Skills & Knowledge:

• Demonstrated ability to accurately apply ICD 9-CM coding methodology.
• Good working knowledge of disease processes and medical terminology.
• Proficient in electronic medical records systems, spreadsheet and word processing applications, and general office equipment.
• Strong analytical skills and excellent attention to detail.
• Strong organizational skills with a demonstrated ability to efficiently and accurately prioritize and process multiple tasks.
• Effective problem-solving skills.
• Effective customer service and presentation skills.
• Effective listening and oral and written communication skills.

Qualifications & Requirements:

Education: Degree or Diploma in medical coding, health information technology or closely related field required. Registration as a Health Information Technician (RHIT), Administrator (RHIA), or Certified Coding Associate (CCA) preferred.

Experience: Two years ICD-9 coding experience in a hospital and/or clinic preferred.

Travel: Requires use of personal vehicle and valid driver’s license for occasional travel between Community Care sites.

Other: Some telecommute hours may be considered after completion of training period.

To apply for an open position please click the ‘Apply Now’ button below.

Affirmative Action / Equal Employment Opportunity Employer / Drug free Workplace