Certified Coding Specialist: The Certified CPC Coding Specialist is responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare and Medicaid. The CPC also provides knowledge of best coding practices to billing, administration and medical providers. This position handles confidential information regarding patient records with knowledge of release of information policies.
Where We are Located
Nestled in the beautiful Rogue Valley in Southern Oregon, Grants Pass is home to Siskiyou Community Health Center, with additional facilities in Medford and Cave Junction. The Cave Junction Clinic is located approximately 29 miles from Grants Pass and 69 miles from the Pacific Ocean. Grants Pass, Medford, Ashland, and Jacksonville comprise the commercial and tourist hub of Southern Oregon and California’s northernmost tip. Surrounded by breathtaking scenery, endless opportunities to enjoy nature, and some of the kindest people you’ll ever meet, southern Oregon is a great place to call home.
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 Chief Medical Officer.
- Participate 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.
- Current 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.
- Position involves sitting at a desk for long periods of time.
- Minimal exposure to infectious diseases.
- 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 submit a cover letter along with your resume to firstname.lastname@example.org.