The Medical Coder is responsible for assigning procedure and diagnosis codes for insurance billing, reviewing claims data, researching medical records, and corresponding with insurance companies to secure accurate reimbursement for healthcare claims. Duties include but are not limited to: Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims Adhere to coding policies and procedures consistent with industry-standard guidelines for CPT, ICD-9 and ICD-10 Answer coding questions Review clinical documentation to ensure it meets the level of CPT codes, ICD-10 and ICD-11 codes Perform related duties as requested Uphold the organization’s ethics and customer service standards Requirements Education: Certificate or associate’s degree in medical coding/CPC. These additional certifications are not required but are a plus: Certified Professional Coder (CPC), CPC‑Hospital, CPC‑Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) Experience: A minimum of 1 year coding experience required, preferably with psychiatric services Knowledge, Skills & Abilities Knowledge of medical terminology; basic and advanced ICD‑9‑CM coding; anatomy and physiology; computer data entry; and medical law, privacy and ethics Knowledge of CMS rules and regulations and current coding resources Knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding and healthcare reimbursement methods Critical thinking skills and ability to resolve complex coding issues Knowledge of mathematical computations (addition, subtraction, multiplication, division, percentages) to perform personnel/payroll assignment and to integrate multiple facts, statistics, and/or mathematical values when solving equations Ability to accurately enter data, prepare and maintain records, files, and reports Outstanding attention to detail with dexterity in maintaining confidentiality Advanced PC skills including Windows operating system, Microsoft Outlook, Word and Excel, and ability to use financial software and payroll systems (Kronos a plus) Effective communication with various individuals while remaining calm in sensitive situations, demonstrating tact and diplomacy Ability to exercise appropriate judgment in answering questions and releasing information; analyze and project consequences of decisions and/or recommendations Skill to research and analyze personnel/payroll matters to recommend alternative actions or appropriate courses of action Skill to independently interpret reference materials to comply with law, rules, regulations, policies, and procedures Ability to apply time‑management practices to prioritize, schedule and complete work effectively in compliance with mandated policies and deadlines Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities Screening: Must successfully pass background check, drug screen, physical examination and provide positive employment references Physical Demands: With or without reasonable accommodations, must be able to stoop, kneel, lift, move about in the work area and throughout the organization to accomplish tasks; typing and data entry (finger dexterity) and ability to maintain steady hands on the keyboard when typing; sit for extended periods with erect posture; read forms and computer screens; express or exchange ideas orally, potentially loudly, accurately, or quickly; visually detect, determine, perceive, identify, recognize, judge, observe, inspect, assess; perceive the nature of sound with or without correction; perform repetitive motions of the wrist, hands, or fingers; light work most of the time, with up to 10 pounds of force exerted frequently Benefits Full‑time employees are eligible for medical, dental, vision, company‑paid disability, 401(k) and a generous amount of paid time off. This job description is not intended to be all‑inclusive. Employees may perform other related duties to meet the ongoing needs of the hospital. Dallas Behavioral Healthcare Hospital is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status. #J-18808-Ljbffr