MEDICAL CODING SPECIALIST

FAMILY CARE HEALTH CENTERS•St. Louis, MO

2d•$22 - $32

About The Position

Responsible for correctly coding healthcare claims, in order to obtain reimbursement from insurance companies and government health care programs. All employees of FCHC must ensure service standards are delivered, including demonstrating a commitment to FCHC mission and vision, a positive attitude towards patients, employees, role, and the health center, and FCHC core values (accountability, courtesy, excellence, flexibility, integrity, respect). Customer Service and Professionalism includes smiling and making appropriate contact, greeting individuals upon entry, being customer service oriented to both internal (colleagues) and external (patients, clients, vendors, etc.) customers, treating patients, customers and colleagues with dignity and respect, providing timely response to requests, tasks, and inquiries, demonstrating good service turnaround, good communication skills, tactful communication, conflict resolution skills, and adherence to FCHC’s dress code policies. Showing commitment to position and team performance (i.e., attendance and punctuality), consideration and acceptance of cultural differences, working well with individuals of diverse backgrounds, supporting a culture of justice, equity, diversity, and inclusion, and participating in training and professional development are also key. Safety includes adhering to and promoting a culture of safety and cleanliness, adhering to HIPPA/Confidentiality standards, and respectful use of FCHC property and equipment.

Requirements

High School Diploma or GED Certificate required.
Certified Professional Coder (CPC) required.
Respect for and maintenance of client and staff confidentiality is required.

Nice To Haves

Associate Degree or Certificate in Medical Coding, health information technology or related field preferred.
Coding certification from AHIMA or AAPC preferred.
Two plus (2+ years of medical coding experience and/or training or the equivalent combination of education and experience preferred.

Responsibilities

Analyzes provider documentation carefully to know the diagnosis and assigns 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 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 HIPPA, federal regulations, and Family Care Health Centers policies.
Contributes to Health Center community health activities outside of regular job responsibilities.
Participates in Health Center staff problem solving groups.
Attends and participates in department meetings, etc. as assigned.
Performs other duties as assigned.