Certified Medical Coding Specialist

7 days ago

Sierra Vista, Arizona, United States Chiricahua Community Health Centers, Inc. Full time
Job Title: Certified Medical Coder

Job Summary:

We are seeking a highly skilled Certified Medical Coder to join our team at Chiricahua Community Health Centers, Inc. The successful candidate will be responsible for reviewing and ensuring the accuracy of medical coding for all services rendered by assigned providers, including appropriate diagnostic documentation of risk and chronic conditions through a master understanding of specific ICD-10 codes and CPT II codes.

Key Responsibilities:

  • Assigns and sequences appropriate diagnostic/procedure billing codes, in compliance with third-party payer requirements.
  • Acts as a coding claims review specialist.
  • Provides training and education to staff on current and future coding guidelines based on industry trends and best practices.
  • Researches and completes coding projects as assigned.
  • Reviews and modifies, if necessary, CPT, HCPCS, and ICD-10 codes from assigned provider visit notes in a timely fashion, ensuring all supported codes are captured on the claim form(s) and submits to the health plan.
  • Establishes themselves as the expert in CPT II and ICD-10 coding, and the relationship between specific coding practices and medical risk stratification.
  • Queries the provider for clarification, as needed, using communication guidelines provided by the RCD/Physician Coder.
  • Identifies providers who may need additional educational training about their documentation and/or code selection.
  • Coding quality is at 95% accuracy or greater.
  • Collaborates with RCD/Physician Coder regarding planned provider coding education sessions.
  • Participates regularly in CCHCI training, personal performance, and staff meetings.
  • Assists in addressing unbilled/unsubmitted encounters.

Requirements:

  • High School Diploma or GED.
  • Current professional coding certification required through AAPC or AHIMA.
  • Documented participation in training and education programs to maintain professional competence and skills.

Preferred Qualifications:

  • One year's experience in medical billing.

Language Skills:

Ability to comprehend and compose effective instructions, correspondence, and communications in English in both oral and written format.

Physical Requirements:

Ability to occasionally exert enough force to move objects weighing up to 10 pounds.

Ability to continuously remain in a stationary position.

Ability to occasionally move about inside the workplace to access files, office machinery, etc.

Possesses hand-eye coordination and manual dexterity necessary to constantly operate computers, telephone, and other office machinery.

Possesses close visual acuity necessary to accurately record and view information on a computer monitor, handwritten and typed documents.

Ability to discern the nature of sounds at a normal spoken volume.

Other Required Knowledge, Skills, and Abilities:

  • Ability to add, subtract, multiply, and divide in all measure, using whole numbers, common fractions, and decimals.
  • Ability to compute rate, ratio, and percentage.
  • Ability to skillfully gather and analyze data.
  • Ability to perform a variety of assignments requiring independent judgment.
  • Ability to deal with challenges involving one or more variables in routine situations.
  • Knowledge of billing, medical records, health plans, and community health centers preferred.
  • Advanced, specialized knowledge of medical codes and coding procedures.
  • Thorough knowledge of ICD, CPT, and NDC codes.
  • Knowledge of HIPAA and Corporate Compliance rules and regulations.
  • Computer literacy required with proficiency in Microsoft Excel.
  • Knowledge of Electronic Health Records and Practice Management software preferred.

Work Environment & Conditions:

Work environment is usually typical of an administrative office setting with no substantial exposure to adverse environmental conditions.

Work may be regularly performed remotely as assigned and may include extended hours including early mornings, evenings, and weekends.

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