Medical Coding Specialist

2 weeks ago


Pottstown, Pennsylvania, United States Community Health and Dental Care, Inc. Full time
Job Title: Certified Professional Coder

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.
Requirements:
  • 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.
What We Offer:
  • 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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