Coding Compliance Specialist (38443)

COMMUNITY HEALTH CARE•Tacoma, WA

6d•$26 - $37•Onsite

About The Position

Community Health Care is a leading non-profit organization that offers quality health care to underserved patients in Pierce County. We provide comprehensive family practice care, including medical, dental, pharmacy, and behavioral health services in our seven clinics. We seek to continuously improve our commitment and service to our patients and community. We want you to join us in our mission to provide the highest quality healthcare with compassionate and accessible service for all. We offer a competitive benefits package including Medical, Dental, Paid Vacation, Sick Leave, 12 Paid Holidays, Life Insurance, Flexible Spending Account, Continuing Education, Employee Assistant Program and more! We are looking for a Coding Compliance Specialist to join our team. The Coding Compliance Specialist reviews records to ensure compliance with the organization's coding procedures and standards. They also review insurance payments and denials and recommends billing corrections. They perform initial charge review to determine appropriate ICD-9/10 and CPT codes to be used to report clinician services to third party payers. In addition, they assist clinicians and other clinical staff by providing information and direction regarding coding (CPT, HCPCS AND ICD-9/ICD-10) documentation and other reimbursement issues. They will enter appropriate data into the Billing System by selecting the appropriate codes, diagnosis, and modifiers to complete the charge process. Monitors and follows up to ensure all services that can be billed are captured and coded for billing. Plus, any other duties as assigned.

Requirements

Associates degree in related field plus Accredited Record Technician (RHIT) or Certified Professional Coder (CPC/CCS) certification plus one year of experience OR equivalent combination of education and experience.

Responsibilities

Reviews records to ensure compliance with the organization's coding procedures and standards.
Reviews insurance payments and denials and recommends billing corrections.
Performs initial charge review to determine appropriate ICD-9/10 and CPT codes to be used to report clinician services to third party payers.
Assists clinicians and other clinical staff by providing information and direction regarding coding (CPT, HCPCS AND ICD-9/ICD-10) documentation and other reimbursement issues.
Enters appropriate data into the Billing System by selecting the appropriate codes, diagnosis, and modifiers to complete the charge process.
Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
Any other duties as assigned.