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Healthcare Coding Specialist
2 months ago
About Us:
At Hoskinson Health & Wellness Clinic, we are a newly established, physician-led health and wellness facility dedicated to providing comprehensive healthcare services to our community. Our mission is to bridge the gaps in healthcare delivery and enhance the quality of life for our patients through a collaborative approach.
Our Mission:
We are committed to transforming healthcare by offering integrated care that encompasses various specialties and support services. Our philosophy emphasizes a holistic view of patient health, ensuring that individuals receive not just treatment but also education and resources tailored to their needs. We prioritize the use of advanced technology and maintain a low patient-to-provider ratio to foster meaningful interactions and personalized care.
Position Overview:
The Healthcare Coding Specialist plays a crucial role in the accurate documentation and coding of medical records, including diagnoses, procedures, and services. This position is vital for ensuring the efficient processing of medical data for billing, insurance claims, and adherence to healthcare regulations. The ideal candidate will possess strong analytical abilities, a solid understanding of medical terminology, and proficiency in coding systems.
Key Responsibilities:
- Review and analyze patient records to identify relevant diagnoses, procedures, and services.
- Ensure completeness and accuracy of medical documentation.
- Assign appropriate codes to diagnoses and procedures using standardized coding systems such as ICD-10, CPT, and HCPCS.
- Input coded information into electronic health records (EHR) and billing systems.
- Maintain coding accuracy and compliance with healthcare regulations and payer requirements.
- Verify that all codes are substantiated by documentation and align with payer guidelines.
- Prepare and submit claims for insurance reimbursement based on coded data.
- Address discrepancies and denials related to coding and billing matters.
- Collaborate with billing and accounts receivable teams to resolve coding-related inquiries.
- Keep accurate and updated records of coding activities and documentation.
- Generate reports on coding accuracy, productivity, and compliance metrics.
- Stay informed about updates and changes in coding guidelines and healthcare regulations.
- Engage in ongoing training and professional development opportunities.
- Work closely with healthcare providers and medical staff to clarify documentation and coding issues.
- Provide expertise and guidance on coding practices and standards.
Qualifications:
- Education: High school diploma or equivalent; an Associate's degree in Health Information Management, Medical Coding, or a related field is preferred.
- Certification from a recognized coding organization, such as the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA), is required (e.g., CPC, CCS).
- Experience: A minimum of 1-3 years of experience in medical coding is preferred.
- Familiarity with electronic health record (EHR) systems and coding software is advantageous.
Skills:
- In-depth knowledge of medical terminology, anatomy, and coding systems (ICD-10, CPT, HCPCS).
- Exceptional attention to detail and accuracy in coding and data entry.
- Proficiency in Microsoft Office and coding/billing software.
- Strong organizational and time-management abilities.
- Effective communication skills for collaboration with healthcare providers and billing teams.
- High level of professionalism and integrity.
- Ability to work independently while managing sensitive information confidentially.
- Strong problem-solving skills and capability to work under pressure.
Physical Requirements:
- Ability to sit for extended periods of time (8-10 hours).
Working Conditions:
- This position typically operates in a standard office environment.
- Some travel may be necessary for meetings or training.
- Occasional extended hours may be required to meet deadlines.
- Health Insurance: The company covers 100% of health insurance premiums, including a low-deductible health plan.
- Additional Insurance: Employer monthly allotment for various insurance coverages.
- Retirement: Up to 8% match for retirement contributions, with no waiting period.
- Vacation & Leave: Generous vacation and sick leave with accrual and carry-over options.
- Continuing Education: Support for professional development with HR approval.
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment and our services.
