Medical Coder, CPC, CCS-P

Role Overview

• Assign ICD-10-CM and CPT/HCPCS codes with modifiers for services provided in the facility (Professional fee coding)
• Review all applicable documentation of various providers to determine the appropriate codes to assign for all medical services, procedures, and diagnoses from available documentation within electronic medical records
• Ensures diagnosis codes meet local and national medical necessity guidelines
• Be knowledgeable of billing and coding requirements for governmental and private insurance payers
• Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all assigned services
• Demonstrates the technical competence to use the facility encoder and EMR in an office or remote setting
• Review and resolves coding edits and denials
• Assists with rebilling accounts when necessary
• Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding
• Follow all HIPAA regulations and uphold a higher standard around privacy requirements
• Completes all assigned work in a timely manner based on internal and/or payer standards
• Must meet all coder productivity and quality goals; Maintain a 95% accuracy rate
• Attending and reporting at weekly team calls with Director of Medical Coding Compliance
• Reporting coding patterns identified within the coding process to management
• Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials
• Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes
• May interact with providers and/or center administrators from time to time regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation

Requirements

• Certified Professional Coder (CPC®) or CCS-P
• High School diploma, GED or equivalent
• Minimum of 2 years of coding experience with an emphasis in Evaluation and Management coding
• Experience in coding healthcare provider documentation to identify correct ICD-10-CM, CPT, and/or HCPCS codes preferred
• An excellent understanding of Mental Health / Opioid Addiction medical terminology preferred
• An excellent understanding of ICD-10-CM coding classification and CPT/HCPCS coding
• Computer literate adept skill level on MS Office applications
• Experience in Mental Health or Addiction Medicine a plus

Benefits

• Medical, Dental, and Vision Insurance
• PTO
• Variety of 401K options including a match program with no vesture period
• Annual Continuing Education Allowance (in related field)
• Life Insurance
• Short/Long Term Disability
• Paid maternity/paternity leave
• Mental Health Day
• Calm subscription for all employees