Medical Coding Specialist - Certified (On-Site)
About The Position
Sunrise Community Health is seeking a Certified Medical Coding Specialist to join their team at the Monfort Family Clinic in Evans, Colorado. This on-site position is responsible for accurately coding healthcare claims to ensure proper reimbursement from insurance companies and government healthcare programs. The role requires a Quality, Customer First, and Compassionate approach to analyzing patient charts, assigning appropriate codes for diagnoses, treatments, and procedures, and ensuring compliance with legal and insurance regulations. The specialist will also handle claim appeals, void duplicate charges, identify error patterns, and communicate with coding supervisors regarding documentation. Additionally, the role involves timely electronic claim submission, accurate entry of payments and adjustments, and providing account information to patients.
Requirements
- High School Diploma.
- Associate (AA) Degree and/or Certificate in Medical Coding.
- Certified Professional Coder (CPC); preferred coding certification from AHIMA or AAPC.
- 2 years’ experience as a medical coder and/or training; or equivalent combination of education and experience.
Responsibilities
- Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
- Assign codes for diagnosis, treatments, and procedures according to the appropriate classification system.
- Review claims data to ensure assigned codes meet required legal and insurance rules and that required authorizations are in place prior to submission.
- Evaluate and re-file appeals for patient claims that were denied.
- Ensure correct patient allocation is set.
- Void any duplicate charges or charges entered in error.
- Identify and report error patterns.
- Notify coding supervisors of missing orders or needed documentation clarification.
- Ensure timely and efficient billing of all electronic claim’s submission.
- Accurately enter payment and adjustments in the A/R system.
- Collect health information as documented by medical providers and code them appropriately.
- Consult medical providers for further clarification and understanding of items on patient charts to avoid any misinterpretations.
- Provide accurate account information to patients about their A/R accounts and make any necessary corrections.
- Comply with HIPAA, federal regulations, and Sunrise Community Health policies.
Benefits
- Up to 8 weeks of Paid Time Off (Vacation, Personal, 12 Observed Holidays, and Sick Leave)
- Medical Insurance
- Dental & Vision Insurance
- Basic Life & AD&D Insurance
- Voluntary Life Insurance
- Long-Term Disability (LTD)
- FSA Medical Flexible Spending Account
- FSA Dependent Care Spending Account
- Employee Assistance Program
- Competitive 401K Plan
- Loan Forgiveness Programs
- Employee Referral Bonus Program
- Tuition and Training Reimbursement
- Agency Wide Training
- Master Class Educational Tool
- Employee Recognition Programs
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
