Description
Responsible for providing expertise in reviewing and assigning accurate medical codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers. This position reports to the Director of Revenue Cycle.
Minimum Qualifications
High school graduate or equivalent. Associates degree in medical coding or related field preferred. Certified Professional Coder (CPC) credential is required; AAPC preferred. One-year FQHC medical billing and/or coding experience preferred.
Why You Should Join Our Team
Passionate Purpose: We're committed to enhancing lives, every day.
Unmatched Support: We are committed to a fun and supportive team environment.
Balanced Lifestyle: No weekends or holidays, ensuring a healthy work-life balance.
Collaborative Care: Work with a dedicated team to provide the best patient outcomes in the right settings.
Exceptional Rewards: Competitive pay, and benefits
Benefits
Health Insurance: 100% employer‑paid employee coverage for medical, dental, and vision plans for full‑time employees.
Life Insurance: Employer‑paid, and optional coverage available for additional cost.
Disability Insurance: Short‑term disability insurance based on age & salary. 100% employer‑paid long‑term disability insurance.
Retirement: 403(b) plan – Heritage Health matches up to 4% of employee contributions.
Paid Time Off: 120 hours PTO in the first year, 56 hours Extended Illness Bank (EIB) in the first year, 8 paid holidays for full‑time employees, amounts pro‑rated for part‑time employees 0.5 FTE or higher.
Employee Assistance Program (EAP): Enjoy free telehealth visits for healthcare, counseling, and health and wellness coaching for all employees and their immediate household members.
Key Success Factors / Qualifications
Working knowledge of current CPT and ICD-10 codes and basic medical terminology.
Skill in operating computer, calculator, copiers, printer, telephone.
Establish and maintain positive working relations with coworkers.
Displays strong organization skills with the ability to prioritize and be detail oriented.
Proficient in Microsoft Office, including Outlook, Word, and Excel.
Excellent communication skills, both written and oral.
Demonstrate the initiative to provide quality of service and improve efficiency.
Ability to perform in a fast‑paced environment while being professional, courteous and calm.
Understand and interpret policies and regulations.
Ability to compose queries in an understandable manner.
Essential Functions
Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record.
Review of electronic medical records initiated by a healthcare provider.
Review and verify component parts of medical records to ensure completeness and accuracy of diagnosis, operations, and special therapeutic procedures.
Code and/or review principal diagnosis, co‑morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with ICD-10, CPT, HCPCS (all levels), and any other coding classification systems that may be required.
Perform edit checks on data entered prior to transmittal and correct errors as indicated.
Analyze medical record documentation for consistency and completeness for coding purposes using established criteria and regulations.
Examine all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered, and the results obtained are adequately described.
Research and manage coding‑related queries to clinical staff and provide guidance.
Communicate findings and current coding, documentation and billing updates to the Senior Compliance Specialist and direct leadership in a timely manner.
Remain current of trends and changes in the laws and regulations governing medical record coding and documentation.
Demonstrate an understanding for confidentiality to protect the patient and the corporation.
Heritage Health staff have an active role in our Patient Centered Medical Home model of care. This role is designated as part of the Heritage Health PCMH Care Team.
Regular and predictable attendance is an essential function of this position.
Perform other job‑related duties as assigned.
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