Medical Coding Specialist
2 weeks ago
Community Health and Dental Care, Inc. is seeking a skilled Certified Professional Coder to join our team. As a Certified Professional Coder, you will be responsible for reviewing healthcare encounters to identify coding accuracy and enhance maximum quality improvement reimbursement from insurance companies and government healthcare programs.
Key Responsibilities:- Review encounters daily to abstract relevant clinical information and assign appropriate medical codes using ICD-10, CPT, and HCPCS code sets.
- Make corrections to encounters that need external codes, diagnosis specificity, BMI coding, Medicare Wellness coding, and diagnosis sorting.
- Verify appropriate CPTII codes are applied to encounters prior to submission.
- Utilize specialized healthcare software tools to assign procedure and diagnosis codes.
- Review claims data to ensure that assigned codes meet regulatory requirements and insurance rules.
- Work with the billing team to investigate and correct denied claims.
- Conduct medical record review and correspond with insurance companies and healthcare professionals to resolve billing and coding issues.
- Create and generate reports applicable to the job.
- High School Diploma required.
- Certified Professional Coder (CPC) certificate and Health Information Systems.
- 1 or more years' experience in a medical office setting. Familiarity with HCC coding rules preferred.
- Competitive salary.
- Medical Insurance.
- Dental and Vision Insurance.
- PTO Accrual.
- 401K Company Match.
- 12 Paid Holidays.
- Company-paid life insurance.
- Employee Health Reimbursement Program.
- No PTO needed for employee preventative care appointments.
- Employee Assistance Program.
- Employee discounts.
- Summer picnic.
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