Certified Medical Coder (CPC)

Western North Carolina Community Health Services•Asheville, NC

15d•$19 - $23•Hybrid

About The Position

CERTIFIED MEDICAL CODER Medical, Dental and Behavioral Health Outpatient Billing Western NC Community Health Services (WNCCHS) is a Federally Qualified Health Center (FQHC). We are committed to caring for our patients with purpose and integrity and providing our team members with the support they need. Are you organized, detail-oriented, and good at time management, this could be a great position for you! We are seeking a Medical Coder to join our growing team. This position is based at our Minnie Jones Health Center, 257 Biltmore Avenue, Asheville, NC 28801. All Billing employees are eligible for a hybrid work arrangement after 90 days of successful performance. The hybrid arrangement is currently the same for all members of the Billing team: 4 days remote, 5 days on-site. All team members are on-site Tuesday.

Requirements

Experience - One year full-time in a similar position required.
Knowledge- Medical billing procedures, coding, and payer guidelines.
Education - High school diploma or equivalent, Medical Coding, preferred.
Certification(s)/Licensure - AAPC Certified Professional Coder (CPC); or willing to train and test for certification within 1 year of employment.

Nice To Haves

Interact in a friendly and professional manner with a wide range of staff, physicians and public.
Plan, prioritize and complete delegated tasks with attention to detail.
Ability to multitask and work well under pressure is essential.
Expert knowledge of medical office operations.
Proficient in the use of Microsoft Office programs to produce correspondence, documents, presentations, records, and spreadsheets.
Excellent verbal and written communication skills.
Familiarity with role of FQHCs in the community preferred.
Bilingual candidates (English/Spanish/Russian) preferred

Responsibilities

Daily contact with patients and /or insurance companies to research, resolve, and respond to billing or claim related inquires
Work on patient account balances in the practice management software as sliding scale fees are updated and develop payment plans as needed
Send delinquent patient accounts to collection agencies
Resolve incomplete/inaccurate Routing Slips/Billing Sheets problems prior to claim submission by obtaining information and correcting data
Verify and correct coding issues, providing coding support to providers/billing staff; sequence and assign modifiers, ICD 10-CM and CPT codes correctly on charges
Ensure billing denials and rejections are investigated, followed up on and resolved in a timely manner
Resolves coding and medical necessity claim denials, ensures provider collaboration with implementing corrective action plan and education
Conduct chart coding audits, providing guidance and educational opportunities to providers
Proactively helps provide action plans for improving coding compliance, reviewing and follow-up external audit results
Ensure that all entries in the practice management database are logical and internally consistent during daily journal close
Close accounting periods on a timely basis
Transmit all claims (secondary or manual) to the appropriate carrier on a timely basis.
Review electronic transmission reports for errors.
Correct all electronic transmission errors until a “clean” transmission is achieved.
Assist in the development and ongoing maintenance of processes and procedures revolving around system use, billing/coding rules, specific guidelines/manuals, and payer bulletins/websites
Review Explanation of Benefits (EOB) reports.
Enter payments timely from RAs/EOBs in the practice management database to maintain insurance AR and patient statement production current and accurate
Reconcile EOBs to information entered in the patient’s account by balancing insurance claims from payers with receipts from patient payments provided by Patient Services staff (front desk)
Conduct clinical coding audits of provider charts to review appropriate code selection
As requested, maintain special electronic spreadsheets and compile reports for management.
Participate in quality management activities
Occasionally, other appropriate duties and responsibilities may be assigned by the supervisor.

Benefits

Competitive health plans for employees and dependents including medical, dental, vision, and telehealth
Eleven (11) Paid Holidays
Two (2) Floating Holidays
Accrued PTO (total of 156 hours in the 1st year)
No weekends or holiday work required
Employee Assistance Network
Free parking
403(b) Retirements Savings with Match
Employer-Paid Short /Long-Term Disability Insurance and Life Insurance
HRSA and Public Non-Profit Student Loan Forgiveness Program
Monthly staff meetings and trainings
Leadership Academy
EPIC EHR platform
Relias Learning Management System (LMS)