Coding Specialist Certified

SummitStone Health Partners • Fort Collins, CO

6h • $24 - $36 • Onsite

About The Position

Responsible for reviewing client records, abstracting relevant clinical information, and confirming appropriate behavioral health and medical codes for accurate billing and reimbursement under supervision and established guidelines. This position serves as quality control support for clinical staff and is intended for coders who are newly certified or actively progressing toward full professional credentialing.

Requirements

• High school diploma or completion of G.E.D. required
• At least one year of demonstrated experience in a healthcare revenue cycle, billing, or coding related role required.
• Experience utilizing an EMR required
• Certification from AAPC or AHIMA required (CPC/CPC-A, CCA, CCS / CCS‑P, CRC) within one year of hire

Nice To Haves

• Experience in EPIC preferred
• Experience in the behavioral health field preferred
• Bilingual/bi-cultural preferred

Responsibilities

• Review and verify documentation for diagnosis, procedures, and treatment results have been assigned accurate codes based on current ICD-10, CPT and HCPCS coding guidelines.
• Review codes for additional billing requirements such as modifiers, number of units or place of service to ensure compliance and accurate billing.
• Ensure that codes are sequenced appropriately in accordance with federal, state and payer-specific requirements.
• Review and verify coding follows behavioral health or medical coding guidelines and policies as appropriate.
• Communicate with staff to clarify ambiguous documentation or coding concerns.
• Receive, research, and respond to provider/clinician and management inquiries about the coding of clinical services.
• Utilizes the State Behavioral Health Services Billing Manual as a resource for behavioral health coding and keeps up to date on changes to coding regulations.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision coverage — including options for eligible dependents
• Mental health and wellness resources
• Short-term and long-term disability insurances
• Paid time off (PTO): Accrued vacation and personal leave based on FTE status and length of service
• Paid Sick Leave: Provided in accordance with the Colorado Healthy Families and Workplaces Act (HFWA)
• A range of voluntary benefits available to all employees
• 403(b) retirement plan with employer matching contributions

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED