Medical Coding Specialist - Certified (On-Site)
Sunrise Community Health Center•Evans, CO
•Onsite
About The Position
Sunrise Community Health is seeking a Certified Medical Coding Specialist to join their team. This role is responsible for correctly coding healthcare claims to ensure reimbursement from insurance companies and government health care programs. The position is an in-person role located at the Monfort Family Clinic in Evans, Colorado. The ideal candidate will approach their work with a Quality, Customer First, and Compassionate mindset.
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 identify diagnoses 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 claims 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
- Tuition and Training Reimbursement
- 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
- Agency Wide Training
- Master Class Educational Tool
- Employee Recognition Programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
