Anticipated Closing Date: 1/31/2025. Applications will be reviewed on a rolling basis.
Position Full Range: $ 27.87/ hour - $ 35.31 / hour
Starting Pay: Although our full pay range is included above, the budgeted hiring range for this position is $ 27.87/ hour - $ 31.59 / hour
Hourly, Non-Exempt
Schedule: Full Time, Flexible Schedule between 8am-7pm, Monday -Saturday
On-site vs Remote: 10% on-site, 90% remote
The Objective: Perform all activities related to Planned Parenthood of the Rocky Mountains’ coding program which includes providing coding training and coding audits, ensuring accurate documentation, creating resources, and tools, and providing direct support to licensed staff.
Success: To be successful in this role you must have a deep background in insurance and Medicaid knowledge and medical billing and coding. You must stay up to date with the latest and most relevant payer, CMS, and coding requirements to ensure all elements of the revenue cycle process are coordinated and communicated. You must be a resource for PPRM’s clinicians through ongoing feedback, support, coaching, and training. You will provide accurate audits of provider charts and ensure that clinicians have the tools to institute continual improvement over their coding and documentation performance. Implement coding efficiencies and initiatives to ensure maximum revenue is captured from 3rd party payers.
Snapshot: This is a full time, M-F, benefits eligible position that will require 100% of your time to be in front of your computer with occasional meetings and phone calls. You will work closely with PPRM medical services, health centers, finance and RCM vendor. You will be auditing charts, creating job aids, facilitating training, providing feedback and support for real time questions, and working 1:1 with clinical staff to improve their coding and documentation performance. working with your staff on audit processes (both creating and refining) process improvement, answering questions, updating coding training documents, working with clinicians, and researching billing and coding rules and regulations.
Qualifications: You must hold an active AAPC certificate as a Certified Professional Coder (CPC) or equivalent and/or AAPC Certified Risk Adjustment Coder (CRC) or equivalent required. Certified Professional Medical Auditor (CPMA) preferred. At least three years of medical billing and coding in an outpatient (preferably in an environment which primarily billed preventative or family planning care) office. Strong written and verbal communication skills while being particularly adept at communication via telephone & video. Strong relationship-building/interpersonal skills. Intermediate knowledge of Microsoft applications, including Excel, Word, PowerPoint, and Outlook, and the ability to use Chrome, Internet Explorer and Microsoft Edge is necessary. Experience with NextGen PM & EHR preferred. Demonstrated experience performing quality reviews. Knowledge of auditing practices and knowledge of ICD-10, CPT, and HCPCS coding are required. Ability to meet deadlines and work under pressure. Ability to conduct effective training for licensed staff. Ability to handle multiple interruptions throughout the day and reprioritize as needed. Self-starter with the ability to take initiative, achieve results, and meet deadlines.
Key Approaches to the Work:
Primary Areas of Responsibility/Essential Functions: The Certified Professional Coder conducts efforts related to ensuring the coding integrity of PPRM through auditing and clinical documentation improvement activities for the organization. Develops or contributes to the development of coding and documentation education for clinical staff. Supports the fiscal goals of the organization by providing timely and accurate coding, working with other departments across the organization to meet coding and documentation quality objectives. Ensures revenue integrity through compliant coding and documentation capture approaches.
Abortion Care: We all work in abortion care, whether it is referrals, information, education, counseling, performing, scheduling, etc. In this role, you will work with your team to ensure all patients can utilize the full measure of their insurance coverage to cover their care and ensure all billing training documents are up to date.
COVID-19 Protocol: Vaccination against COVID-19 will no longer be a condition of employment. However, all Health Center/Patient or Community Facing Employees, must have the COVID vaccine or wear a mask at all times beginning November 1st. Proof must be uploaded upon hire. You will upload a picture or pdf of your vaccination card(s) prior to your start date.
Flu Protocol: All employees working directly with patients, the community or working in a health center will be required to have the flu shot or wear a mask during patient/community contact or while in the health center from November 1 – April 30 each year (Flu Season). Proof must be uploaded upon hire. You will upload a picture or pdf of your vaccination card(s) prior to your start date.
Planned Parenthood of the Rocky Mountains – which includes Colorado, New Mexico, Southern Nevada, and Wyoming – has been empowering individuals to make responsible choices for over 100 years.
Since 1916, we have been committed to delivering the highest quality reproductive and sexual health care; teaching medically accurate, age-appropriate sexuality education; and working diligently to protect the right to access safe, legal abortion.