Medical Coder

MEDICAL CODER

We are seeking a Medical Coder to join our team. Under general supervision, this individual will review, approve, and/or translate medical documentation into accurate medical codes. This ensures that patient medical billing aligns with the services provided at Corelife’s medical practices. The role will involve coding based on provider documentation and will contribute to reports used for quality assessment, audits, and billing purposes. The candidate will also support providers, educating them on proper coding and documentation practices as needed.

Key Responsibilities:

• Review office notes and other documentation to assign appropriate diagnoses (ICD-10), procedure codes (CPT), and other necessary coding items (HCPCS) for final billing.
• Research and process invoice corrections related to coding discrepancies.
• Analyze and review coding/billing procedures.
• Provide training and feedback to physicians and providers regarding medical coding, compliance, and reimbursement.
• Report trends and coordinate reimbursement improvement activities with management.
• Create and maintain payer policy documentation as required.
• Perform chart audits to ensure accuracy and compliance with coding standards.
• Maintain confidentiality of all client, patient, caregiver, and team member information in accordance with HIPAA regulations.
• Perform other duties as assigned.

Qualifications and Experience:

• Education: High School Diploma or GED.
• Experience: Minimum of 1 year as a certified coder.
• Certification: CPC (Certified Professional Coder) or similar certification is required.
• Knowledge:
  • Strong knowledge of Medicare, Commercial, and Medicaid Risk Adjustment programs.
  • Familiarity with E/M coding is required; experience with Obesity management and nutritional management coding is a plus.
  • Experience with electronic medical records, specifically EPIC/Nextgen, is highly desirable.
  • In-depth knowledge of Quality Concepts such as HEDIS®, Medication Adherence, CAHPS, and HOS.
  • Ability to navigate member benefits across multiple product lines (Commercial, Medicaid, and Medicare Advantage).
  • Knowledge of medical terminology, provider reimbursement payer policies, ICD-10, HCPCS, and CPT-4 coding.

AS A CORELIFE TEAMMATE, YOU CAN EXPECT:

• Values-based culture
• A competitive salary based on experience ($20 - $23 an hour)
• Medical, dental, and vision insurance
• Wide selection of ancillary benefits
• Paid time off
• 7 paid holidays
• Retirement plan

CoreLife is an Equal Opportunity Employer.

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