Certified Medical Coder

Salary $39,520.
00 - $56,160.
00 Annually Location Willis Wellness Center - Portsmouth Job Type Regular Full-Time Job Number 202400012 Department Patient Financial Services Opening Date 03/21/2024 Closing Date 4/12/2024 11:59 PM Eastern Position Overview The Hampton Roads Community Health Center is looking for a Certified Medical Coder to join our Patient Financial Services Team.
Under direct supervision, this non-exempt position is responsible for accurate medical coding for outpatient services, diagnostic tests and other medical services rendered to each patient.
Reports to the Revenue Cycle Manager.
Key responsibilities include: Complies with all legal requirements regarding coding procedures and practices; conducts audits and coding reviews to ensure all documentation is accurate and precise; assigns and sequences all codes for services rendered; assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines; and identifies discrepancies, potential quality of care, and billing issues.
Collaborates with billing department to ensure all bills are satisfied in a timely manner; communicates with insurance companies about coding errors and disputes; submits statistical data for analysis and research by other departments; contacts physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedures; and accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
Serves as resource and subject matter expert to other coding staff; reviews and verifies documentation supports diagnoses, procedures, and treatment results; audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes; and identifies discrepancies, reportable elements, complications, potential quality of care, and billing/procedural issues.
Performs administrative support work such as word processing, creating spreadsheets, data entry and retrieval; orders, monitors and distributes program supplies/resources; and other information to ensure accuracy and conformance to established procedures and policies; and counsels patients regarding patient responsibilities and rights; adheres to patient confidentiality guidelines.
Performs other duties as assigned.
Required Qualifications: High school diploma or equivalent is required and a minimum of five (5) years of medical coding experience or any equivalent combination of education and experience.
Certified Professional Coder (CPC) certification is required.
Successful candidates will possess: Required Knowledge Coding Systems - Expertise in coding systems such as ICD-10-CM/PCS, CPT, and Healthcare Common Procedure Coding System (HCPCS).
Medical Terminology – Extensive knowledge of anatomy and physiology, disease processes, pharmacology, the different classification systems, and more to be able to properly assign diagnostic and procedural codes to terminologies.
HIPAA – Knowledge of the federal Health Insurance Portability and Accountability Act (HIPAA) to ensure the privacy and safeguard patient information.
Insurance Policies - Must have knowledge and understanding of insurance policies and procedures; be familiar with the various insurance plans, policies, and procedures to ensure accurate billing and coding.
Customer Service — Considerable knowledge of principles and processes for providing customer service.
This includes meeting quality standards for service.
Required Skills Computer Skills – Utilizes a personal computer with word processing, spreadsheet, and related software to effectively complete a variety of financial tasks with reasonable speed and accuracy.
Analytical Skills - Must have the ability to analyze medical records and insurance claims to identify error or discrepancies.
Should also be able to interpret insurance policies and procedures to ensure compliance with regulations.
Time Management - Plans and organizes daily work routine.
Estimates expected time of completion of elements of work and establishes a personal schedule accordingly.
Implements work activities in accordance with priorities and estimated schedules.
Interpersonal Relationships – Effective English communication skills and interpersonal skills to be able to communicate well with doctors, nurses, surgeons, and other healthcare professionals, and discuss patient records effectively even through other channels.
Required Abilities Communication – Ability to effectively communicate ideas and proposals verbally and in writing, to include the preparation of detailed logs which include numerical information.
Attention to Detail — The ability to ensure the accuracy of information needed to record and code patient data to reduce the potential for mistakes, billing errors and may contribute to better job performance.
Employer paid Basic Life Insurance, Accidental Death and Dismember, Long Term Disability.
Comprehensive medical, dental, and vision coverage.
Health Savings Account (HSA) - high deductible medical plan.
Paid Time Off (PTO) and holidays.
Hospital Indemnity Insurance.
Accident Insurance.
Cancer Insurance Critical Illness Insurance Legal Care Plan After one (1) year of employment, you are eligible to participate in the company 401(k) plan with a 3% match.
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