Medical Coding Specialist - Non-Certified (On-Site)
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. 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.
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
- 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
High school or GED
