Revenue Cycle Medical Coder
Central Avenue - Phoenix, AZ 85012
Overview
Position Type Full Time Job Shift Day Shift Education Level High School Diploma/GED Travel Percentage In-Office Category Accounting/Finance
Description
Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person's health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes.
The Revenue Cycle Medical Coder position is responsible for supporting the Revenue Cycle Management (RCM) Department with claims coding and billing review, best practices, coding recommendations and policy setting, and staff training and education. This position reports to the Director, Revenue Cycle.
HOPE ~ HEALTH ~ HEALING
- Ensuring that procedural and diagnosis codes are assigned correctly and sequenced appropriately per government and insurance regulations
- Reviewing claims and configuration to ensure compliance with coding guidelines and best practices
- Reviewing patient charts, claims, and policies as needed to verify, correct and ensure accuracy of billable services
- Training and support to claims team members and practitioners related to appropriate billing procedures and coding requirements
- Recommending and implementing strategic protocols for coding review and code modifications
- Completing overarching coding practice evaluations
- Collaborating with cross functional teams such as Compliance and Contracting
- Stay up to date on coding requirements and best practices, including attending external training and meetings to proactively develop and implement forward thinking best practices
Qualifications
- High School diploma or equivalent. Bachelor's degree preferred.
- Certification in medical coding and billing, CPC, CCS, RHIT required
- 5+ years' experience in a coding and billing position
- Demonstrated knowledge of NextGen or similar HER
- Intermediate knowledge of Microsoft suite, especially excel
- Experience interacting with cross functional partners, and external payers and stakeholders
- Strong communication skills written and verbal. Excellent collaboration and partnership skills
- This role is a non-driving position. This position is performed at one location and does not require travel to various Terros Health centers. May be 18 years of age and with less than two years' driving experience or no driving experience.
- Must pass background check, TB test and other pre-employment screening