Coder/Biller I (In-Person Only Position)

Salina Family Healthcare Center•Salina, KS

4d•$19 - $21•Onsite

About The Position

The Coder/Biller I provides coding and insurance support to the Billing Department and demonstrates understanding of health insurance, Medicare, Medicaid, FQHC nuances and the SFHC discount program to ensure the integrity of claims & maximize reimbursement. May screen patients and assist the uninsured with enrolling in applicable discount/insurance programs. If applicable would need to meet requirements and competencies to be designated as a “Certified Application Counselor or Navigator” under CMS/HRSA definition. May be required to meet performance standards of Presumptive Eligibility Specialist to enroll qualified pregnant women and children in Kansas Medicaid.

Requirements

Ability to establish and maintain effective working relationships with staff, patients and the public.
Knowledge of HIPAA privacy rules and regulations.
Excellent interpersonal, mathematical, verbal and written communication skills.
Ability to efficiently complete work is reasonably void of errors, and high in accuracy.
Excellent customer service skills and ability to effectively and respectfully interact with unsatisfied patients and coworkers.
Ability to manage multiple tasks, work under pressure, and prioritize workload, while maintaining efficiency and accuracy.
Effective and efficient time management and organizational skills.
Ability to follow written policies and procedures.
Ability to work independently and use good judgment.
High school diploma required
Certified Professional Coder (CPC) OR equivalent of two years coding and insurance in a medical related field
Excellent organization, prioritization, and follow-up skills required
Requires knowledge of ICD10, CPT and HCPCS Coding
Social and cultural sensitivity appropriate to ethnically and economically diverse patient and employee-base.

Responsibilities

Efficient timely review of patient charges prior to creating claims for accuracy and completeness; obtain/correct any missing information to reduce claim denial prior to creating claims; including orchard and non-billable holds as a priority.
Accurately review /code encounters for appropriate diagnosis (ICD10), procedures (CPT), HCPCS codes and modifiers prior to billing claims to maximize reimbursement.
Demonstrates and maintains working knowledge of third-party payer regulations and claim policies to include FQHC, Medicare and Medicaid, 340B, Lab NCD & LCD as well as SFHC discount program to accurately submit claims.
Assist with reducing claim denials.
Monitor, identify, research and resolve outstanding unpaid claims.
Ensure the Discount Program integrity by updating claims as well as appropriate practice management systems accurately & timely.
Meet requirements and competencies to be designated as a “certified application counselor or Navigator” under CMS/HRSA definition, if applicable.
Obtain Presumptive Eligibility Specialist designation and meet performance standards as outlined by KDHE-DHCF in order to enroll our pregnant women and children that are eligible in Kansas Medicaid if applicable.
Attend meetings as required.
Perform other duties as assigned.