Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services to include medical, dental and behavioral health throughout 24 outpatient health centers within El Paso, Teller, Lincoln, Adams and Kit Carson counties. We deliver care with our strong “Hospitality” culture. Our organization has over 800 employees and serves more than 89,000 patients annually in the Pikes Peak and East Central regions of Colorado. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).

Compensation (Pay): $19.00 to $27.55 /hourly based on experience.

Summary of Benefits:

• Medical, Dental, Vision, Life, STD, LTD
• 403(b) Retirement with Company Match
• Paid Time Off
• Tuition Assistance
• Perks Rewards
• Employee Assistance Program

https://www.peakvista.org/resources/benefits-summary

Job Summary: Responsible for understanding clinical documentation and how it relates to medical coding, coding guidelines and payer rules.

Essential Duties and Responsibilities include the following: 

• Understands various payer types and how coding is impacted.
• Develops and maintains a thorough grasp of FQHC Guidelines and nuances that affect code reporting.
• Has foundational understanding of code sets and relevant use based on payors including Medicare, Medicaid, Commercial, Sliding Scale and Full Fee
• Utilize and navigate the EHR and Practice Management software appropriately to review documentation and process charges efficiently and accurately.
• Analyzes provider documentation to ensure the appropriate CPT, HCPCS, ICD-10-CM codes and modifiers are fully supported and accurately reported.
• Provides expertise to Accounts Receivable Staff in addressing appeals for denials due to potential coding errors.
• Support clinic staff with coding knowledge and resources
• Reviews charge line codes for accuracy to support the charge posting process.
• Execute daily workload within full compliance of state and federal coding regulations.
• Review, analyze, code and process charges.
• The position will require review of ICD-9-CM, ICD-10-CM, CPT and HCPCS coding of provider documentation.
• Summarizes and reports the trends of provider documentation to appropriate leadership
• Supports Coding and Clinic Leadership in duty assignment and production report reviews.
• Maintains required continuing education and certifications that are essential to the position.
• Perform self-audits and reviews/corrects Coding Supervisor audit reports to maintain a 95% coding accuracy.
• Collaborates with Coding team and Clinic Staff on coding training, reviews, and shares knowledge as it is gained.
• Utilizes appropriate resources to accurately abstract data and code provider and nurse visits.
• Stay abreast of code changes and documentation requirements as they occur.
• Perform other duties as assigned.

Supervision Exercised: None                        

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

Education:  High school diploma or equivalent education required.
Work Experience: Relevant healthcare experience preferred.

Certificates and Licenses: CPC, CPC-A, CPC-P, CCS-P, RHIA or RHIT certification preferred.

Computer Skills: Intermediate - ability to access the intra/internet to manage timecard, review policies and procedures, and read company communications; use e-mail to communicate with co-workers, leadership, and other departments; use and create a variety of templates, complex tables, merges; manage table data, sort and filter merges, and also perform basic work with existing Macros; customize toolbars, import and insert graphs, embed Excel data, and elaborate reports; work with multiple worksheets, filter data, use integrate functions, and manipulate databases; customize templates and the PowerPoint environment, and to make a presentation interactive by using hyperlinks and action buttons

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

OSHA risk level/work environmental hazards: This position has been categorized as OSHA Level Three. See Exposure Control Plan for details.

The noise level in the work environment is usually quiet.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee must occasionally lift and/or move up to 20 pounds. While performing the duties of this job, the employee is frequently required to sit. The employee is occasionally required to stand and walk.

 

*Successful candidates will complete pre-employment screening; which includes but is not limited to, a Criminal Background check. Peak Vista Community Health Centers is a drug and alcohol-free workplace and an Equal Opportunity Employer.

**PVCHC participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee’s I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com