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

Sunrise Community Health Center • Evans, CO

4h • Onsite

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, such as Medicare.

With a Quality, Customer First, and Compassionate approach, The Non-Certified Medical Coding Specialist will:

Analyzes patient charts carefully to know the diagnosis and represent every item with specific codes.
Assigns codes for diagnosis, treatments, and procedures according to the appropriate classification system.
Reviews claims data to ensure assigned codes meet required legal and insurance rules and that required authorizations are in place prior to submission.
Evaluates and re-files appeals for patient claims that were denied.
Ensures correct patient allocation is set.
Voids any duplicate charges or charges entered in error.
Identifies and reports error patterns.
Notifies coding supervisors of missing orders or needed documentation clarification.
Ensures timely and efficient billing of all electronic claims’ submission.
Accurately enters payment and adjustments in the A/R system.
Collects health information as documented by medical providers and codes them appropriately.
Consults medical providers for further clarification and understanding of items on patient charts to avoid any misinterpretations.
Provides accurate account information to patients about their A/R accounts and makes any necessary corrections.
Complies with HIPAA, federal regulations, and Sunrise Community Health policies.

Requirements

• High school diploma or equivalent required.
• Coding certification through AHIMA or AAPC and/or a minimum of two years of medical coding experience, training, or an equivalent combination of education and experience.

Nice To Haves

• Associate’s degree or certificate in Medical Coding preferred; Certified Professional Coder (CPC) credential is a plus.

Responsibilities

• Analyzes patient charts carefully to know the diagnosis and represent every item with specific codes.
• Assigns codes for diagnosis, treatments, and procedures according to the appropriate classification system.
• Reviews claims data to ensure assigned codes meet required legal and insurance rules and that required authorizations are in place prior to submission.
• Evaluates and re-files appeals for patient claims that were denied.
• Ensures correct patient allocation is set.
• Voids any duplicate charges or charges entered in error.
• Identifies and reports error patterns.
• Notifies coding supervisors of missing orders or needed documentation clarification.
• Ensures timely and efficient billing of all electronic claims’ submission.
• Accurately enters payment and adjustments in the A/R system.
• Collects health information as documented by medical providers and codes them appropriately.
• Consults medical providers for further clarification and understanding of items on patient charts to avoid any misinterpretations.
• Provides accurate account information to patients about their A/R accounts and makes any necessary corrections.
• Complies with HIPAA, federal regulations, and Sunrise Community Health policies.

Benefits

• Up to 8-weeks of Paid Time Off (to include Vacation, Personal, 12 observed Holiday, 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
• Referral Bonus
• Tuition and Training Reimbursement
• Agency Wide Training
• Master Class Subscription
• Employee Recognition Programs

What This Job Offers

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