Job Description
- Performs pre-appointment HCC or risk adjustment chart reviews, coding audits, or other coding-related projects
- Acts as internal resource for all coding inquiries from providers, Billing, Laboratory, Radiology, and other departments.
- Provides real time coding consultation and review and evaluation of documentation to improve coding practices
- Provides training to providers and Billing staff on use of ICD-10 codes
- Queries provider documentation as appropriate
- Provides Billing staff with coding and documentation information necessary to process a claim for reimbursement
- Maintains knowledge of current coding guidelines and standards, annual updates, changes, additions, and deletions to ensure coding and billing compliance
- Communicates code changes to appropriate departments
- Reviews and updates coding policies and procedures as needed
- Assigns appropriate ICD-10 and CPT codes to patient encounters as needed
- Assists Revenue Cycle manager and billing staff on technical projects
- Acts as resource for providers for medical documentation inquiries
- Performs other job duties as required by manager/supervisor
- Completion of an AA or AS degree
- Possession of AAPC or AHIMA credential such as CPC, CPC-P, CPMA, RHIT, RHIA, CCS, or CCS-P
- Minimum of two years’ experience working in the healthcare industry in the areas of HCC or risk adjustment, health information, chart audit, medical coding, or billing
- Prior coding experience highly preferred
- Knowledge of medical terminology, anatomy, pathophysiology, pharmacology, CPT, ICD-10, clinical documentation, or medical billing processes
- Excellent verbal and written communication skills
- Experience with Microsoft Office (Word, Excel, PowerPoint) and Outlook
- Detail-oriented and problem-solving skills
- Ability to work independently with minimal supervision
- Experience in an FQHC or community health center setting preferred
- Must be able to fluently speak, read, and write English.
- Fluent in other languages are an asset.
This is not an OSHA high-risk position.