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Certified Medical Coder
LA PINE COMMUNITY HEALTH CENTER

Location: La PIne, Oregon
Work Setting: Behavioral/Mental Health, Physician Office, Other
Job Function:
Coder, Reimbursement/ Billing Specialist
Job Type:
Full-Time
Salary Range: 19-25

Introduction

Assist Billing Department in claims submission and follow up, researches claim denials and follows up with insurances and patients.  Communicates with patients, insurance companies, and staff to ensure the health center’s billing and collections processes are carried out in accordance with established policies.  Overall responsibility is to maximize revenues and cash flow to the organization.

Job Description

  • Monitoring and working work queues/dashboard for all providers, to include coding, researching, correcting claims and trending of coding/billing behaviors.
  • Review codes for all documented professional services provided Applies CPT, ICD-10-CM, HCPCS and modifiers following coding guidelines
  • Adheres to official coding guidelines, AMA and CMS
  • Expert in reviewing providers coding and preparing educational communication, supporting documentation, etc. for providers coding/billing
  • Ensures coded services, provider charges and medical record documentation meet appropriate guidelines and standards
  • Keeps abreast of coding guidelines and reimbursement reporting requirements
  • Fields coding questions and ensures review of patient complaints as well as insurance related inquires on behalf of providers as needed
  • Illustrate knowledge of healthcare industry in areas of coding, revenue cycle, claims and state specific insurance/laws
  • Ensures timely charge review/processing of daily submissions
  • Assists with manual claim submission
  • Researches claim denials and follows up appropriately
  • Assists with patient payment plans
  • Ensures electronic patient accounts are accurate
  • Assists in maintaining health center’s fee schedule
  • Assists with provider peer reviews related to coding
  • Maintains filing system for all material related to billing and collection functions in accordance with organizational standards
  • Maintains strict patient confidentiality
  • Participates in staff meetings, trainings, and quality assurance activities as directed
  • Performs other duties as assigned

Required Qualifications

  • Coding Certification(s): CCS-P through AHIMA, NCICS through NCCA, or CPC through AAPC
  • High school graduate
  • Knowledgeable of medical insurance billing procedures, including CPT and ICD10 coding, and third party payer contacting.
  • Experience working on computers; typing/keyboarding speed of at least 40 WPM
  • Excellent customer service skills and ability to effectively and respectfully handle dissatisfied patients
  • Ability to work independently and to use good judgment
  • Knowledge of Microsoft Office software products
  • Knowledge of standard office machines including copier, fax, shredder, multi-line telephone, printers, etc.
  • Current Oregon Driver’s License and proof of automobile insurance

Preferred Qualifications

Preferred Qualifications

  • Auditing, Compliance and Billing or Practice Management Certification(s): CCS-P through AHIMA or CPC through AAPC Two years’ experience in an office environment including at least six months in a medical office.
  • One-year experience in billing and collections experience in a medical office setting.
  • One-year experience working with customer billing accounts.
  • Experience and training in ICD-10 and CPT coding.

Education Qualifications

  • Coding Certification(s): CCS-P through AHIMA, NCICS through NCCA, or CPC through AAPC
  • High school graduate

Compensation/Benefits

Medical, Dental, Vision for employee paid by the employer

401K with 4% matching

Six paid holidays

two weeks Earned Time Off

Re-Certification paid by clinic

Instructions for Resume Submission

Apply at www.lapinehealth.com/careers

Apply Online: https://www.lapinehealth.org

Posted: May 12, 2020 at 3:35 PM
Post ID: 50665

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