Excellent opportunity to join a stable company providing patient care. We are looking for a dependable, dedicated, and respectful person to join our team of Coding Specialists. Outstanding compensation including generous paid time off, 9 paid holidays, excellent health benefits, a company paid pension, multiple bonuses, and more!

POSITION DESCRIPTION:

Responsible for the accurate and efficient coding of FHC medical records, in accordance with all legal regulations and accepted standards. The Coder reviews charts as assigned by the Manager, scans them for errors and omissions, makes edits as necessary, and submits them for processing. The Coding Specialist adheres to Corporate Compliance program, by reporting improper or unethical conduct, violation of applicable laws, regulations or program requirements.

DETAILED DUTIES AND RESPONSIBILITIES:

• Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
• Audits clinical documentation and coded data to validate documentation supports diagnoses, procedures and all services rendered for reimbursement and reporting purposes.
• Identifies diagnostic and procedural information and reviews physician pending charges for appropriate complexity using CPT coding guidelines.
• Analyzes medical records and identifies documentation deficiencies as well as potential quality of care and billing issues.
• Assigns codes for reimbursements and compliance with regulatory requirements utilizing guidelines and following up to date coding conventions.
• Works closely with the Coding Supervisor to research, analyze, recommend, and facilitate a plan of action to correct discrepancies and prevent future coding errors.
• Works closely with the Coding Supervisor to provide feedback to providers to improve documentation practices.
• Researches and analyzes data required for reimbursement.
• Confirm patient demographic, insurance and referring physician information is accurately entered in Intergy.
• Confirm insurance verifications and authorizations, as applicable to claims.
• Enter all word codes, CPT, HCPCS and ICD-10 coding and modifiers in Intergy timely and accurately.
• Follow established checks and balances systems to ensure complete and accurate code capture.
• Respond to audit findings and make applicable coding additions or corrections.
• Review Medicare Local Coverage Determinations (LCDs) and Medicare bulletin updates and Medicare NCCI.
• Update Intergy patient’s account notes with any changes made to patient information or as otherwise dictated by company policy and procedure.
• Serves as coding consultant to providers.
• Keeps abreast of compliance regulations, standards, and directives regarding governmental/regulatory agencies and third-party payers.
• Keeps abreast of standard coding guidelines (including Medicare, Medicaid, Managed Care, HEDIS, and FQHC guidelines).
• Manages significant workload and works efficiently under pressure to meet established deadlines with minimal supervision.
• Provides updates and status reports to management weekly.
• Other duties as assigned.

KNOWLEDGE:

• Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment
• Medical terminology, CPT, HCPCS and ICD-10 coding and modifier usage required
• Understanding of FQHC billing procedures and Sliding Fee Schedules a plus
• EHR systems expertise, preferably with Intergy or other ambulatory care facility-based system
• Understand and adhere to all HIPAA guidelines
• MS Office Suite (Excel proficiency)
• Alpha-Numeric data entry

TRAINING AND SKILLS:

• Medical Coding & Billing course completion required
• Associates Degree preferred
• 2 years Medical Coding experience
• Certified Professional Coder (CPC) Certification required
• Minimum 1-year employment in Healthcare related field