Sault Tribe - Saint Ignace, MI
posted 8 days ago
About the position
Under the direction of the Health Care Administrator, the PCC Data Entry Clerk incumbent performs highly technical and specialized functions for the Tribal Health Clinic. The employee reviews, audits and codes diagnostic and procedural information that assures completeness and accuracy of the visits in the Electronic Health Record and the Resources Patient Management System RPMS and assures third party reimbursement. The primary function of this position is to perform ICD-9 CM, CPT and HCPCS coding for reimbursement for all documented encounters. The coding function is a primary source for data and information used in health care today and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
Responsibilities
- Perform comprehensive review of the visit record to assure presence of all component parts.
- Evaluate the Electronic Health Record visit documentation for consistency and adequacy.
- Ensure that diagnosis accurately reflects treatment rendered.
- Provide back-up coverage to Patient Registration staff.
- Audit and/or correct ICD-9 and CPT codes for billing third party resources.
- Review each encounter, identifying deficiencies, documenting and reporting operational difficulties to appropriate supervisor.
- Responsible for various data clean-up projects as assigned by supervisor.
- Directly participate with medical, dental, laboratory, radiology, audiology, pharmacy and nursing staff to clarify documentation in EHR.
Requirements
- High school diploma or equivalent required.
- Minimum of 1-year experience required.
- Must maintain a good moral character standing.
- Will be required to complete and pass pre-employment drug testing.
- Knowledge of Medical terminology and ICD-9 and CPT codes preferred.
- Knowledge of RPMS/Electronic Health Record required.
- Knowledge and skill sufficient to decipher terminology and abbreviations used by providers preferred.
- Ability to use medical references independently preferred.
- Proficient use of computer required.
- Must maintain strict confidentiality.
Nice-to-haves
- Native American preferred.
