Job Description
A Certified Medical Coder is needed to review, analyze, and code all procedures for providers to ensure proper reimbursement. You will work Monday through Friday from 8:30 a.m. to 5 p.m.
Job Responsibilities:
- Review charges for accurate coding and ensure timely submission of all charges
- Prepare reports for staff, identify un-billed charges and coding issues, and bring to the attention of manager
- Keep logs and copies of current Insurance, State, Local, and Federal guidelines
- Maintain information in a confidential manner
- Cross train with other staff on business functions
- Provide support on Medical, Behavioral, Health, and Dental Coding Denials, create appeal process, and provide customer service to patients and customers
- Maintain a manual with instructions
- Perform other duties as needed
Job Qualifications:
- Must have a High School Diploma of GED
- Certified Professional Coder, AAPC, CCS, and AHIMA Credential is required
- Must have at least 5 years of physician and hospital billing experience with specific knowledge in medical terminology and CPT, CPT II, HCPCS, and ICD10CM Coding
- Must be familiar with FQHC, Medicare, Medicaid, and health care regulations, billing, coding, and reporting
- Familiarity with Federal Qualified Healthcare Center standards of Medical, Behavioral Health, and Dental Coding is beneficial
- Microsoft Office Suite and EPIC related billing software knowledge is required
- Must have excellent organizational, communication, and customer service skills
- Must have strong analytical and problem-solving skills for coding denial review, appeals, and medical necessity policies
- Availability to limited local or overnight travel is needed
- Must be able to abide by all policies, procedures, and confidentiality rules
Only candidate that can pass a background, credit check, and drug screen will be considered. All applicants must be vaccinated against Covid-19.
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