Fee For Service Coder
2 weeks ago
MyCare Medical Group is a primary care organization committed to providing the highest quality, most cost-effective care to our patients. We are seeking a diligent and experienced Fee-for-Service Coder to join our team. They will be responsible for coding fee-for-service operations, including but not limited to ensuring compliance (following all guidelines and regulations to ensure high-industry standards), optimizing revenue cycles, and fostering a culture of continuous improvement.
Job Responsibilities:
- Follow coding policies, procedures, and best practices to ensure accuracy and compliance with regulatory requirements (e.g., ICD-10, CPT, HCPCS).
- Participate in regular audits and quality assurance checks to evaluate coding accuracy, identify areas for improvement, and mitigate compliance risks.
- Collaborate and communicate with internal departments, including billing, revenue cycle management, compliance, and clinical teams.
- Help train current and new providers, including developing coding resources such as documentation and training sessions.
- Stay current with changes in coding guidelines, regulations, and industry trends, and communicate updates to team members as necessary.
- Analyze coding-related data and metrics to monitor productivity, identify trends, and drive performance improvements.
- Serve as a subject matter expert on coding-related inquiries, providing guidance and support to internal stakeholders as needed.
- Ensure timely and accurate submission of coded claims to third-party payers, minimizing denials and optimizing revenue capture.
- Develop and maintain effective relationships with external partners, such as payers and auditors, to facilitate communication and resolve coding-related issues.
- Participate in strategic planning initiatives to support the organization's goals and objectives related to coding, billing, and revenue optimization.
- Bachelor's degree in Health Information Management, Medical Coding, Healthcare Administration, or related field.
- AAPC certification required.
- Minimum of 5 years of experience in medical coding
- Thorough knowledge of medical coding guidelines, regulations, and reimbursement methodologies (e.g., Medicare, Medicaid, commercial payers), specifically within a primary care practice.
- Excellent analytical skills with the ability to interpret coding-related data and metrics.
- Effective communication and interpersonal skills, with the ability to collaborate with cross-functional teams.
- Proficiency in coding software, electronic health record (EHR) systems, and Microsoft Office Suite.
- Demonstrated commitment to accuracy, integrity, and compliance in coding practices.
- Travel Requirement: 25%. Will be required to travel as needed to our practices across Florida and Texas.
BENEFITS
- Comprehensive benefits package, including Health, Vision, Dental, and Life insurances
- FSA and Life Assistance Program (EAP)
- 401(k) Retirement Plan
- Health Advocacy, Travel Assistance, and My Secure Advantage
- PTO Accrual and Holidays
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