Certified Coder I

Senior PsychCare•Houston, TX

7d•Onsite

About The Position

Senior PsychCare has an immediate opportunity for a Certified Coder I with Mental Healthcare coding experience to support our Billing Team in Houston. Senior Psych Care provides fully integrative behavioral health services to the long-term care patient at their facility. Services include individual, family, and group therapies, along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team.

Requirements

Two (2) years of outpatient coding experience
Ability to code for physicians, including E&M Levels
Effective oral and written communication skills
Certified Professional Coder (CPC) is required.

Nice To Haves

Mental Healthcare coding experience

Responsibilities

Reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance.
Accurate code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting of Physician Services.
Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient encounters.
Utilizes technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, CPT 4, E&M Levels, and modifiers.
Reviews documentation to extract and enter data accurately for other abstracting fields.
Follow coding compliance policies, official coding guidelines, regulatory requirements, and internal policies and procedures affecting the coding process.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), and adheres to official coding guidelines.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals that contribute to the success of the organization.
Prepare and submit electronic or paper claims to insurance companies or third-party payers promptly.
Ensure all required supporting documentation is included with each claim submission.
Verify that claims are submitted with the correct coding and billing information.
Track submissions to payers to ensure they manage them promptly and minimize denials.
Collaborate with physicians, providers, and administrative staff to address billing and coding issues and improve processes.
Provide guidance and training to staff members on proper documentation and coding practices.
Participate in meetings or discussions related to revenue cycle management and billing optimization.