Medical Coder Jobs in Houston, PA (NOW HIRING)

GENERAL OVERVIEW:

This job is an integral part of the care delivery system working together to provide a healing environment, by placing our customers first. The incumbent provides specialty and critical care healthcare services in physician office(s) and non- acute based settings with a focus on chronic health conditions in specific populations in accordance with applicable scope and standards of practice and with the policies, values, and mission of the organization within the CRNP scope of practice. Specialty certification, advanced procedures with appropriate privileging, weekend and on-call coverage on a rotational basis, as required. E-consults and telehealth could be included in the care provided.

ESSENTIAL RESPONSIBILITIES

• Provides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation for patients in physician office(s) and non- acute based settings. 30%

• Communicates with attending physician regarding plan of care and involves physician in clinical decision making of any issues that are outside the CRNP's knowledge base or scope of practice. Makes medical diagnoses and institute appropriate therapy within the applicable scope and standards of practice.15%

• Orders, interprets, and evaluates laboratory, radiological, and diagnostic studies appropriate for the patient's condition to determine and implement treatment plans.10%

• Assesses learning needs of patient and family and provides education based on age, culture and willingness to learn. Educates patients and family members regarding health and illness prevention, medication and treatment instructions, and recommend community resources as needed.15%

• Ensures appropriate understanding and timely documentation in the EMR to support accurate medical coding and billing, and record/report pertinent information to the attending physician of record.10%

• Maintains mandatory professional continuing education, actively participate in patient safety, quality improvement, and patient engagement initiatives, and maintain professional practice consistent with organizational and advanced practice mission statements and specialty-specific privileges.10%

• Perform other duties as assigned or required.10%

QUALIFICATIONS:

Required

• Master's degree MSN from the practicing State Board of Nursing Approved Master's Program

• National Board Certification for Nurse Practitioners through an accredited association

• Practicing-state licensure as a Nurse Practitioner

Preferred

• None

Additional Employment Requirements:

• Prescriptive Authority from the practicing state Within 60 days of hire

• Drug Enforcement Agency Licensure Within 60 days of hire

• CPR - American Heart Association

• Act 34 Criminal Background Clearance Certificate

• Act 33 Child Abuse Clearance Certificate

• Act 73 FBI Fingerprinting Criminal Background Clearance Certificate

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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