Medical Coding Specialist - Non-Certified (On-Site)

Sunrise Community Health Center • Evans, CO

86d

About The Position

The Non-Certified Medical Coding Specialist is responsible for correctly coding healthcare claims to obtain reimbursement from insurance companies and government health care programs. This position is an in-person position in the Monfort Family Clinic in Evans, Colorado. With a Quality, Customer First, and Compassionate approach, The Medical Coding Specialist will analyze patient charts carefully to know the diagnosis and represent every item with specific codes. They will 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, evaluate and re-file appeals for patient claims that were denied, and ensure correct patient allocation is set. The role also involves voiding any duplicate charges, identifying and reporting error patterns, notifying coding supervisors of missing orders, ensuring timely billing of all electronic claims, accurately entering payment and adjustments in the A/R system, consulting medical providers for clarification, and providing accurate 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

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 251-500 employees