This position onsite and performs complex professional coding in support of specialty or multi-specialty physician practices by evaluating medical records and validating that appropriate clinical diagnosis and procedure codes are assigned in accordance with nationally recognized coding guidelines.

About Tanana Valley Clinic 

Tanana Valley Clinic (TVC) has provided state-of-the-art medical services to the Fairbanks Community and Interior Alaska for over 50 years.  TVC is a 60-provider multi-specialty group. We have an excellent group of physicians and clinical staff, many of whom have been at TVC for 20+ years, as a testament to our friendly work environment. Our passionate staff seek to make TVC the Medical Home for the people of the Interior of Alaska.

*3-5 years of coding experience highly preferred.

This position will be working onsite only.

Position Available:

Full-time/Days

Monday - Friday

40 hours a week

8 Hour Shifts

8:00am - 5:00pm

ESSENTIAL FUNCTIONS 

1. Reviews and analyzes complex diagnosis and procedure documentation from medical records against billed procedures to ensure accurate coding of specialty diagnoses and procedures in accordance with national coding guidelines and appropriate reimbursement requirements. Recognizes and distinguishes complex diagnoses and procedures and has attention to detail to make needed corrections and ensure accurate coding, reimbursement, and compliance. 

2. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate review of ICD9 and/or CPT4 code assignments. 

3. Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration(HCFA), as well as company and applicable professional standards. 

4. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes. 

5. Acts as a knowledge resource to clinical staff for billing code issues.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge and specialized formal training equivalent to the two year certification course in medical record keeping principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations, or an Associate’s degree in a related health care field.

Must demonstrate an elevated level of knowledge and understanding of ICD9 and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as required for the assigned practice areas. Requires three or more years of specialized professional coding experience for clinical specialty areas. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring business unit according to pre-established company standards. Requires the ability to work autonomously while maintaining a high level of accountability and quality performance outcomes.

Must demonstrate excellent critical thinking and organization skills. Requires attention to detail.

Must be able to work effectively with common office software, coding software, and abstracting systems.

PREFERRED QUALIFICATIONS

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) credentials are preferred. Medical Coding Specialty Credential from the American Academy of Professional Coders (AAPC) in the assigned specialty areas are a plus. Specialty coding certification.

Additional related education and/or experience preferred.

PHYSICAL DEMANDS/ENVIRONMENT FACTORS

OE - Typical Office Environment: (Accountant, Administrative Assistant, Consultant, Program Manager)

• Requires extensive sitting with periodic standing and walking.
• May be required to lift up to 20 pounds.
• Requires significant use of personal computer, phone and general office equipment.
• Needs adequate visual acuity, ability to grasp and handle objects.
• Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone.
• May require off-site travel

Foundation Health Partners is an EEO/AAP employer; qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.