Lead Coder

OnPoint Medical Group • Highlands Ranch, CO

3d • Hybrid

About The Position

OnPoint Medical Group is searching for an outstanding Lead Coder to join our team! This is a full-time position, and after the training period, the role may be remote for candidates who reside in Colorado. Come join a great group of medical professionals as our network continues to grow! OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Our "Circle of Care" has one primary goal – to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands. SUMMARY Certified Professional Coder requirements include translating a patient’s medical record into the appropriate CPT, HCPCS and ICD10 Codes to be submitted on a claim to insurance carriers, following local, state, and federal medical billing laws and guidelines.

Requirements

• High School Diploma or High School Equivalency
• Strong computer skills required
• 5 years healthcare experience
• 2+ years coding experience

Nice To Haves

• CPC or AHIMA Certification
• Some college – medical, business, accounting focus
• Bilingual
• EMR experience preferred – Athenahealth practice management system

Responsibilities

• Working directly healthcare providers, and staff to ensure the medical documentation supports the CPT and Diagnosis codes that are being billed out to payers following payer specific guidelines
• Perform pre-visit planning in Navina as instructed
• Run day-end report for practice managers 2x per week copy executive directors and coding manager
• Post visit review and claim submission
• Working directly with the healthcare providers to ensure correct coding initiatives are met
• Other coding duties as assigned
• Submitting a minimum of 80 - 100 claims per day out of preassigned clinics
• Dropping claims within 3 days of note completion
• Work within guidance of Billing Compliance Plan
• Work within Federal, State and Local Billing Guidelines
• Attend scheduled coding meetings
• Maintain coding certification including timely submission of continuing education to AAPC or AHIMA
• Maintain and follow strict privacy, confidentiality, and safety protocols.
• Comply with all government regulations around the following: HIPAA OSHA PCI DSS
• Claim submission policies
• Maintain a clean and organized work environment
• Deliver faxes to billing department staff member when appropriate
• Other administrative duties
• Assist others with coding questions in regards to ICD 10, CPT codes
• Assist others with documentation requirements
• Develop training materials for internal and external customers
• Assist coding manager with other coding duties as assigned

Benefits

• Health insurance plan options for you and your dependents
• Dental, and Vision, for you and your qualified dependents
• Company Paid life insurance
• Voluntary options for short-term disability, and long-term disability coverage
• AFLAC Plans
• FSA options
• Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
• Paid Time-Off earned

What This Job Offers

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