Certified Coding Specialist

Valley-Wide Health Systems • Alamosa, CO

3d • Onsite

About The Position

Join Our Team at Valley-Wide Health Systems, Inc. We’re looking for a Certified Coding Specialist who is passionate about accuracy, compliance, and supporting the financial health of our organization through expert medical coding and documentation review. This role plays a vital part in ensuring patient encounters are accurately coded, claims are submitted correctly, and reimbursement processes run efficiently. If you have a strong understanding of coding guidelines, enjoy problem-solving, and thrive in a detail-oriented healthcare environment, we’d love to have you join our team.

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
• Assists in implementing solutions to reduce back-end billing errors
• Utilizes 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
• Reviews 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
• Provides coding expertise to billing staff and coding associates in addressing appeals for coding-related denials
• Minimize claims cycle-times, defects and reprocessing
• Performs regular training, as needed for providers, clinical support staff, operations coding associates and billing staff
• Communicates 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
• Maintains up to date knowledge of changes in coding guidelines and regulations

Benefits

• Free Health Insurance (additional plan options available)
• Employer-paid Air Ambulance Coverage (MASA)
• Employer-paid Basic Life, LTD, STD
• Retirement Match
• Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan
• Paid Leave

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed