Certified Medical Coder

Description

Scope of Tasks & Responsibilities:

• Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
• Collect health information as documented by medial provides and code appropriately. Consult with providers for further classification of items on patient charts to avoid misinterpretations. 
• Maintain certification by staying up to date on new coding rules and regulations.
• Conduct audits of patient charts to verify appropriate coding was applied and review with physicians for training purposes. 
• Review of patient medical charts to identify proper coding for denied claims.
• Collect and distribute coding related information and billing issues. 
• Handle claims denial follow-up. 
• Perform billing functions as it pertains to coding.
• Assist Clinic staff with patient coding and related procedures
• Collaborate with supervisor to increase revenue and system efficiency
• Communicate all outstanding billing required from Providers on a timely basis. 
• Maintain confidentiality in accordance with RHC policy, HIPAA and any other applicable regulatory requirements.
• Exemplify the RHC mission through a personal example of excellent service to patients, visitors and coworkers.
• Attend regularly scheduled staff meetings
• Other duties as assigned

Requirements

Required Education, Certification, Experience and Skill:

• Business school training in medical billing preferred or comparable two years
• Current CPC or HCPCS Certification.  ICD-10 certification a plus
• Have demonstrated knowledge/experience with medical terminology, claims processing, and medical coding.
• Have a thorough understanding of managed care concepts including HMO, MCE and capitation
• Have a solid understanding of Medicaid and Medicare.
• Have a solid understanding of the complete billing cycle.
• Dental billing experience a plus.
• Optometry billing experience a plus.
• Proficient with MS Office and Practice Management Systems [ECW preferred]. 
• Strong interpersonal and communication skills with an ability to work effectively with a wide range of people, supervisors, co-workers and vendors.
• Exceptional customer service skills
• Bilingual in Spanish a plus.