Medical Coding Specialist (Healthcare)
Base Pay: $22.00 - $32.50 / hour
JOB SUMMARY
Certified coder with strong analytical skills to review charges and ensure accurate and appropriate billing to all payers including preferred experience with managed care plans. Knowledge of Medicare & Medi-Cal guidelines, including use of CCI, NCD, LCD edits and familiar with Medi-Cal modifiers & eTAR requirements. Experience in electronic claims submission, electronic health records, posting payments, working A/R including completion of CIF's & appeals. Works closely with the Billing Manager and the Director of Electronic Data Interchange as a team to maintain all aspects of the revenue cycle.
JOB DUTIES AND RESPONSIBILITIES
Accurate and review of appropriate billing of all charges based on CPT/ICD-10-CM and payer guidelines, especially Partnership HealthPlan.
Use of EHR to verify correct coding and medical necessity.
With assistance from training staff, provide training to medical front office staff of departmental and billing procedures.
Assist billing staff with follow up of denied claims.
Knowledge of coding and clinic operations as it pertains to Federally Qualified Health Centers.
High Skill level in Microsoft Office Suite Programs.
Utilize NextGen EPM/EMR to verify information and confirm complete documentation.
Requests adjustments to accounts based on organizational guidelines.
Daily feedback reports to Center Manager's and Billing Manager.
Complete assigned tasks and assist with coding and error resolution.
Assist with telephone inquiries and provides information requested.
Assist with patient complaints preparing information for Senior Management review.
Participates in educational activities.
Maintains strictest confidentiality.
Communicates routinely with satellites & other departments on billing issues and changes.
KNOWLEDGE, SKILLS, AND ABILITIES
Ability to work without direct supervision.
Ability to take directions and meet deadlines in a timely manner.
Knowledge of medical terminology and clinic systems.
High skill level for Microsoft office programs with expertise in excel.
Knowledge of medical billing, accounting procedures and applications.
Knowledge of claims review, analysis and quality assurance.
Knowledge of commercial insurance and government reimbursement programs.
Possess good verbal and written communication skills.
Multi-task oriented with attention to detail.
EDUCATION & EXPERIENCE
Obtain Certified Coder (CPC, CCS-P) credential from AAPC within 6 months of hire.
CGT/SGT certification preferred.
Expert level experience using MS Windows operating System preferred.
Two to four years related experience.
Coding champion and help train employees ICD-10 Coding.
BENEFITS
Competitive wages
Medical insurance
Dental insurance
Vision insurance
403(b) retirement plan with matching employer contribution
Long-term disability coverage
Life insurance
Accidental death and dismemberment insurance
Supplemental Insurances
Flexible spending account
Paid vacation
Paid sick
Paid holidays
Paid CME time and CME allowance
Employee assistance program
Jury duty pay
Bereavement pay
Prescription discount program
529 college savings plan
Educational reimbursement program
Gym membership discounts
Free telemedicine service for benefit eligible employees
Shasta Community Health Center is an Equal Opportunity Employer.
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