Coding Specialist

At The Portland Clinic our mission is to be a trusted community collaborating to improve the health and well-being of those we serve. Join our team and let us work together to offer a welcoming, inclusive environment for our patients and the communities we serve.
JOB TITLE:Coding Specialist
SUPERVISOR: Director of Business Services
HOURS PER WEEK: 40hrs (This position can be remote after an onsite training period)
DEPARTMENT: Business Services
The following information is designed to outline the essential functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained.
HIRING BONUS: $1,000 after 90 days
PRIMARY FUNCTION: To maintain current knowledge and certification of all coding procedures, in order to audit charts and clinician documentation and be able to train staff and physicians accordingly.
DUTIES & RESPONSIBILITIES (* Essential Functions) TPC123
1. Train, educate, and communicate coding matters with providers on a regular basis.*
2. Code and review complicated encounters, including: E/M, office procedures, surgical procedures, and modifier coding.*
3. Conduct regularly scheduled audits of charts and encounters to ensure proper physician documentation coding accuracy and compliance with government and other insurance rules and regulations.*
4. Consistently meet work queue metrics and goals as set by administration.*
5. Gather information regarding denials and recurring coding problems to give feedback to particular providers and the Business Office.*
6. Work closely with the Business Office on day-to-day issues with patients and insurance companies to help resolve any coding and billing disputes. Communicate decisions with Business Office staff so they can forward findings to patients and providers as necessary.*
7. Handle patient phone calls directly when the Business Office needs assistance explaining coding findings.
8. Process coding requests from the Business Office within the time frame set as company standard.*
9. Participate in regular meetings with the IT team, Business Office, and Compliance Specialist.
10. Attend coding education webinars, conferences and meetings, as directed by Supervisor, to maintain all applicable CEU requirements.*
11. Keep current on Medicare and other insurance coding regulations to ensure all standards are met and share information to appropriate parties.
12. Take on other special projects related to coding as requested by Administration.
13. Attend work regularly as scheduled.*
14. Employees will not be discourteous or disrespectful to a customer or any member of the public while in the course and scope of company business.*
15. Work in a cooperative manner with management/supervision, coworkers, customers and vendors.*
16. Abide by company policies.*
17. Other duties as assigned.
REQUIREMENTS:
AAPC or AHIMA Certification
EDUCATION/LICENSES PREFERRED:
High School Diploma or equivalent
EXPERIENCE/QUALIFICATIONS/SKILLS PREFERRED:
Values team success
Compassionate, patient, tactful, diplomatic, sociable, well organized, thorough, and independent
Shows an interest in taking action to increase his/her knowledge and development as an employee
Contributes to an environment where people feel valued
Keyboarding skills
Electronic Health Record competency
Proficiency in medical software and Microsoft Windows
Organizational skills and ability to prioritize work flow
Oral and written communication skills and excellent phone and email etiquette with an ability to convey and receive information via the telephone, as well as via email
Competency in language, grammar, and spelling
Ability to interact and establish a good rapport with people over the telephone and in person, often in stressful situations
Capability of effectively working on more than one task without a reduction in the quality of work and service performed
Ability to react calmly and effectively in stressful situations and to work under pressure
Ability to accept responsibility and use initiative to proceed with necessary tasks without direct supervision
Skill in establishing and maintaining effective working relationships with patients and staff
COMPENSATION & BENEFITS (Benefits eligibility begins at 20hrs/wk):
401k plan with Employer Matching up to 4.5% annually
Roth IRA
Comprehensive Medical, Dental and Vision insurance
Flexible Spending Account
Company provided $10K Group Life/AD&D insurance
Voluntary benefits: Life/AD&D, Dependent Life/AD&D, Short-Term Disability, Critical Illness, and Disability
4.92 hours of PTO accrual per pay period (PTO accrual is prorated based upon FTE)
One paid Wellness day per year
Seven paid holidays, and 1 partially paid holiday (mid-day closure)
Employee Assistant Program