Peak Vista Community Health Centers is a non-profit healthcare organization whose mission is to provide exceptional healthcare to people facing access barriers. We provide primary care services (medical, dental and behavioral healthcare) through 26 outpatient health centers in El Paso, Teller, Lincoln, Adams, Arapahoe, Elbert, and Kit Carson counties. We deliver care with our strong “Hospitality” culture. Our organization has over 900 employees and serves over 94,000 patients in the Pikes Peak and East Central region. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).
Job Summary (Essential Functions)
Responsible for understanding the billing requirements for all payors and programs. Enters and approves data into the Management information system according to appropriate guidelines to ensure that PVCHC accounts receivable is accurate. Responsible for coding and entering hospital charges for charge sheets and/or face sheets within established guidelines. Analyzes provider documentation to assure the appropriate Evaluation & Management coding levels are assigned the correct CPT or CDT code. Provides expertise to Billing staff in addressing appeals for denials for incorrect diagnosis's for services performed. Serves on the Patient Account Audit team to facilitate the auditing of provider encounters to ensure compliance and maximize reimbursement. Serves as coding reviewer to support the charge posting process. Execute daily workload within full compliance of state and federal billing regulations. Accept charges, review, analyze, and code diagnostic and procedural information that determines Medicaid, Medicare, CHP+ and private insurance payments. The position will require of ICD-9-CM, ICD-10-CM, CPT, CDT and HCPCS coding for procedures performed by providers. Performs other duties as assigned
High School Diploma or equivalent required.
ICD-10 certified; 1 year coding experience.
Cognitive Skills (Language, Math, and Reasoning Ability):
Must have superior communication and customer service skills, ability to handle multiple tasks simultaneously in a timely manner, ability to communicate in person, by phone and in writing in a clear, concise and professional manner, ability to reason and prioritize responsibilities effectively and ability to resolve problems with minimal assistance.
Data entry skills required, expedient and accurate use of 10 key and basic computer skills required.
Certificate & Licenses:
CPC, CPC-P, CCS-P, RHIA or RHIT certification required.
Frequent standing and walking, occasional long periods of sitting, moderate bending, moderate energy requirements, and frequent fine motor skills. Looking at computer screen continuously for long periods of time, hearing within normal range. Must be able to lift 20 pounds.
- 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