Medical Coding Specialist

Description

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

SCHC understands the importance of good health for every employee. We offer a comprehensive benefits package to ensure employees and their families receive the optimal in health care coverage, along with options to meet their needs.

• 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.