Coding & Billing Specialist (part-time)

firsthand

111d • $18 - $20

About The Position

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun.

Requirements

• 4+ years experience as a medical billing and coding specialist leveraging an Electronic Health Record (EHR) system.
• Strong knowledge of ICD-10-CM and CPT coding guidelines; medical terminology; state and federal Medicare reimbursement guidelines.
• Proficient in medical terminology: ability to read and interpret medical procedures and terminology.
• Excellent written and verbal communication skills, especially to maintain working relationships with firsthand APNs, NPs, Clinical Documentation Integrity Specialist, and other team members.
• Strong multi-tasking skills and consistent attention to detail.
• A high School diploma or equivalent.
• Medical coder certification, such as Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA.

Nice To Haves

• Certified Risk Adjustment Coder (CRC) certification from AAPC.

Responsibilities

• Become subject matter expert in the capabilities of firsthand's billing systems, including EHR and Clearinghouses.
• Appropriately codes services, procedures, diagnoses, and treatments. Verifies that the assignment of ICD, CPT, and HCPC codes are compatible, appropriate, and accurate for billing.
• Use medical terminology to understand clinical documentation and determine if it appropriately supports diagnoses. Reviews all individual visit encounters for completeness and accuracy in all services rendered.
• Educates firsthand Advance Practice Nurses (APNs), Nurse Practitioners (NPs), and other team members on proper code selection, documentation, procedures, and requirements.
• Provides technical guidance to APNs, NPs, and other team members in identifying and resolving issues or errors such as incomplete or missing records and documentation.
• Prepares and submits claims for payment, and corrects rejected claims.
• Advises on ongoing process improvements related to coding and billing. Makes recommendations for changes in policies and procedures.
• Develops and updates procedures manuals to maintain standards for correct coding, and to minimize the risk of fraud and abuse.

Benefits

• Physical and mental health insurance.
• Dental insurance.
• Vision insurance.
• 401(k) with a match.
• 16 weeks parental leave for either parent.
• 15 days/year vacation in your first year (increases to 20 days/year in your second year and beyond).
• Supportive and inclusive culture.

What This Job Offers

• Job Type: Part-time
• Education Level: High school or GED
• Number of Employees: 101-250 employees