HIM Medical Records Certified Medical Coder - FT

Georgetown Behavioral Health Institute•Georgetown, TX

19h

About The Position

The Medical Coder complies with legal requirements and industry-standard coding practices. The role conducts coding audits and reviews to ensure documentation is accurate, assigns and sequences codes for services rendered, and collaborates with the business office to support timely billing. The Medical Coder also communicates with insurance companies about coding issues, submits statistical data for analysis and research, and contacts physicians and other healthcare professionals with coding questions. The position reviews claims and clinical documentation, researches medical records, and helps resolve denied-claim issues. It upholds the organization’s ethics and customer service standards and performs related duties as requested.

Requirements

High school degree required.
At least one year of coding experience required.
Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and physiology; computer data entry; and medical law, privacy, and ethics.
Knowledge of CMS rules and regulations and current coding resources.
Knowledge of HCPCS, CPT coding, and healthcare reimbursement methods.
Critical thinking skills and ability to resolve complex coding issues.
Ability to accurately enter data and prepare and maintain records, files, and reports.
Attention to detail and ability to maintain confidentiality.
Advanced PC skills, including Windows and Microsoft Outlook, Word, and Excel, and ability to use financial software and payroll systems.
Ability to communicate effectively and remain calm in sensitive situations requiring tact and diplomacy.
Ability to exercise judgment in answering questions and releasing information, and to analyze the consequences of decisions or recommendations.
Ability to independently interpret reference materials and comply with laws, rules, regulations, policies, and procedures.
Ability to prioritize and complete work effectively within mandated policies and deadlines, and to manage multiple tasks simultaneously.
Must possess or obtain valid CPR certification and facility-approved verbal de-escalation and physical crisis management certifications within 30 days of hire and before completing orientation.
Must meet the listed physical and sensory requirements, with or without reasonable accommodation.

Nice To Haves

Certificate or associate’s degree in medical coding/CPC.
Certified Professional Coder (CPC), CPC-Hospital, CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC), or Certified Professional Medical Auditor (CPMA) certification.
Coding experience with psychiatric services.
Bilingual English/Spanish ability.
Familiarity with Kronos.

Responsibilities

Use specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
Review claims data to verify codes meet legal and insurance requirements and that required signatures and authorizations are in place before submission.
Research medical records and correspond with insurance companies and healthcare professionals to resolve issues arising from denied claims.
Follow coding policies and procedures consistent with CPT, ICD-9, and ICD-10 industry-standard guidelines.
Answer coding questions.
Review clinical documentation to ensure it supports the applicable CPT and ICD-10 codes.
Collaborate with the business office to help ensure bills are satisfied in a timely manner.
Communicate with insurance companies about coding issues and contact physicians and other healthcare professionals with coding questions.
Submit statistical data for analysis and research by other departments.
Uphold the organization’s ethics and customer service standards.
Perform related duties as requested.