Certified Professional Coder

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Balance Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤝 B2B

Healthcare Insurance • SaaS • B2B

Balance Health is the nation’s premier comprehensive lower-extremity focused Physician Practice, having formed the largest majority physician-owned podiatric medical organization in the United States through its merger with Weil Foot & Ankle Institute. It offers operational support to podiatrists, orthopedic surgeons, and physical therapists, allowing them to concentrate on delivering high-quality patient care and growing their practices. Balance Health aids in recruiting, HR billing and collections, accounting, technology, marketing, regulatory compliance, and more, catering to private practice needs. Moreover, Balance Health provides partners access to ancillary services such as pathology labs, MRIs, physical therapy services, and orthotic labs, which contribute to convenient patient care and additional revenue streams. By leveraging its size to enhance contracts and decrease costs, it supports value-based care while promoting clinical autonomy for its physicians, making it a dynamic partner for medical professionals committed to providing exceptional foot and ankle care.

📋 Description

• Review clinical documentation to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system • Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines • Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed • May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc. • Provides coding feedback to providers, clinical department leadership, and revenue cycle team • Escalate coding and documentation issues to revenue cycle leadership, and assist facilitating corrective action plans • Assists with design and implementation of workflow updates and coding tools • Support denial team on coding related denials • Assist Coding Manager on physician education projects • Any other duties as assigned

🎯 Requirements

• Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) required • Certified Outpatient Coding (COC) a plus • A minimum of three (3) years of coding experience within Podiatry and/or foot and ankle orthopedic surgery, wound care a plus • Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines • Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD-10-CM and HCPCS code assignment • Demonstrates commitment to continuous learning • Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge, experience in Modernizing Medicine or EClinical Works a plus • Excellent verbal and written communication skills • Proficient touch-typing skills • Ability to focus for extended periods • Ability to manage multiple priorities and projects • Excellent time management skills • Ability to lead by example

🏖️ Benefits

• Medical • Dental • Vision • Life Insurance • Flexible Spending Account • Healthcare Spending Account • 401(k) Matching • Paid Time Off • Training Provided • Pet Insurance