Certified Coding Specialist

VALLEY-WIDE HEALTH SYSTEMS INC•Alamosa, CO

1d•$21 - $26•Onsite

About The Position

Valley-Wide Health Systems, Inc. is seeking a Certified Coding Specialist passionate about accuracy, compliance, and supporting the financial health of the organization through expert medical coding and documentation review. This role is vital for ensuring patient encounters are accurately coded, claims are submitted correctly, and reimbursement processes run efficiently. The ideal candidate has a strong understanding of coding guidelines, enjoys problem-solving, and thrives in a detail-oriented healthcare environment.

Requirements

Certified Professional Coder certification through an accredited training course
2 years’ experience working in medical billing
Experience using ICD-10, CPT and HCPCS codes preferred
Intermediate level computer experience
Advance knowledge of medical terminology and anatomy
Displays enthusiasm toward the work and the mission of the organization
Ability to communicate professionally with staff at all levels
Demonstrates accuracy and high attention to detail

Responsibilities

Accurately convert patient encounters into reimbursable claims for timely payment
Review daily system-generated error reports to correct or complete missing data elements
Track issues missing documentation or charges that require follow up
Assist in implementing solutions to reduce back-end billing errors
Utilize technical coding principles
Assist in design and implementation of workflow changes to minimize rework
Analyze the RCX and EPM system through NextGen to verify valid diagnosis codes for charges
Review ICD 10, HCPCS, CDT and CPT codes on claims for proper submission while decreasing claim denials
Update ICD 10, HCPCS, CDT, CPT codes on claims for proper submissions while decreasing claim denials
Serve as a resource for department managers, staff, providers and administration
Provide coding expertise to billing staff and coding associates in addressing appeals for coding-related denials
Minimize claims cycle-times, defects and reprocessing
Perform regular training, as needed for providers, clinical support staff, operations coding associates and billing staff
Communicate effectively with Clinical staff, Providers and office staff on an ongoing basis regarding documentation issues or needs; provides assistance, guidance and support in a respectful and courteous manner
Strive towards reducing the number of missing and incomplete encounters received daily
Maintain up to date knowledge of changes in coding guidelines and regulations