Coding Specialist - Temp. end April 2021

Description

Community Health Care is seeking a Coding Specialist to join our team! Community Health Care is a private, non-profit organization created in 1987 in the Great Tacoma area with five medical, one urgent care and three dental clinics. Our mission is to provide the highest quality health care with compassionate and accessible service for all!

The Coding Specialist reviews records to ensure compliance with the organization's coding procedures and standards. Reviews insurance payments and denials and recommends billing corrections. Trains staff members on the coding process.

We offer a competitive benefits package to all full-time employees including Medical, Dental, Vision, Paid Time Off, Continuing Education and Retirement Contributions!

Essential Functions:

1. Perform initial charge review to determine appropriate ICD-9/10 and CPT codes to be used to report clinician services to third party payers.
2. Interpret progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.
3. Enter appropriate data into the Billing System by selecting the appropriate codes, diagnosis and modifiers to complete the charge process. Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
4. Assist clinicians and other clinical staff by providing information and direction regarding coding (CPT, HCPCS AND ICD-9/ICD-10) documentation and other reimbursement issues.
5. Conducts and coordinates routine audits of clinician documentation involved with professional fee billing, for accuracy of coding and clinician physical presence; coordinates ad hoc audits.
6. Conduct training of coding functions/rules for clinicians and support staff.
7. Responsible for assisting with resolving coding questions/problems.
8. Contacts clinicians regarding procedures and other services billed to ensure proper coding.
9. Performs duties and job functions in accordance with the policies and procedures established for the department.
10. Participates in staff meetings and attends other meetings as assigned.
11. Other duties as assigned

Qualifications

Minimum Qualifications:

Education: Associate's degree in related field. Two years of coding experience can substitute for the education requirement.

Certification: Accredited Record Technician (RHIT) or Certified Professional Coder (CPC/CCS) certification required.

Experience: One year of medical and/or dental coding experience required.

Preferred Qualifications:

1. Bachelor’s Degree
2. Three or more years of related experience.
3. Bilingual capacity
4. Experience in a Community Health Center or non-profit organization.