Wage: $23-26/hr. DOE.

POSITION SUMMARY:  The Certified Coding Specialist correctly codes healthcare claims to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare.  The CCS also provides billing, administration, and providers knowledge of best coding practices. This position handles confidential information regarding patient records with knowledge of information policy release.

Duties and Responsibilities:

  • Answers coding questions from providers and staff.
  • Reviews and processes daily charges submitted by providers at all sites.
  • Prepares and organizes documentation in response to carrier audit requests.
  • Remains current on new codes and updates to coders’ practices.
  • Performs chart audits as requested by Administration or CMO.
  • Participates in the development of coding policies and procedures as identified.
  • Identifies and clarifies missing, conflicting, or nonspecific clinician documentation related to diagnosis and procedures.
  • Reviews coding denials from payers and recommends appropriate action to resolve the claim based on payer and coding guidelines.
  • Works with medical staff to resolve coding issues and associated problems.
  • Participates in educational activities.
  • Creates tools and provides training to providers and billing staff on coding tips and updates.
  • Participates in special projects that require knowledge of current coding practices.
  • Assist Billing Department as needed.
  • Completes other duties as assigned.

QUALIFICATION, EDUCATION and EXPERIENCE:

  • High school diploma or GED.
  • Certification from the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA).
  • Minimum of two (2) years coding and billing experience in physician practice/

Required Knowledge, Skills and Abilities:

  • Knowledge of coding policies and procedures, reimbursement practices.
  • Knowledge of health insurance processing and clinic operating policies.
  • Skill in using computer coding programs and systems.
  • Skill in identifying and resolving problems.
  • Ability to examine insurance documents for accuracy and completeness.
  • Ability to prepare insurance records in accordance with detailed instructions.
  • Ability to work effectively with patients and co-workers.
  • Ability to communicate effectively and clearly.
  • Ability to use electronic medical records.

PHYSICAL DEMANDS:

  • Position involves sitting at a desk for long periods.

HAZARDOUS CONDITIONS:

  • Minimal exposure to infectious diseases.

WORKING CONDITIONS:

  • Position is 100% office-based.
  • Occasional evening or weekend work required. Periodic state and national travel.

MACHINES, EQUIPMENT, TOOLS, and SUPPLIES USED:

  • Computer, printer, calculator, fax machine, copier, multi-line phone system, private automobile, and/or cellular phone.

To apply, please send resume and cover letter to [email protected].