Certified Coder, CPC/CCS

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🐊 Florida, North Carolina, +2 more states – Remote

🐊 Florida – Remote 🌲 North Carolina – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote

💵 $20 - $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Mindpath Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1994

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Mindpath Health is a provider of mental health services, offering both in-person and online psychiatry and therapy for individuals of all ages. The company focuses on patient-centered care, providing tailored treatments for various mental health conditions such as depression, anxiety, and ADHD. Mindpath Health also offers specialized services like Transcranial Magnetic Stimulation (TMS) and Mindpath College Health, aimed at college students and staff. With a commitment to accessibility, they accept most commercial insurance plans and provide a user-friendly scheduling system for new and existing patients.

📋 Description

• Review and audit charge encounters/tickets for correct CPT, ICD-10, and HCPCS codes across multiple facilities and systems • Assist with pre- and post-audits while maintaining compliance with payer reimbursement policies, government regulations, and Medicare/CMS guidelines • Monitor audit progress and communicate results with the Coding Compliance Manager • Maintain required annual CEUs and an active certification • Code and abstract patient encounters, including diagnostic and procedural information, reportable elements, and complications • Analyze medical records and identify documentation deficiencies • Serve as a coding resource and subject matter expert to RCM leadership, peers, providers, and department staff • Review and verify documentation supporting diagnoses, procedures, and treatment results • Audit clinical documentation and coded data to validate support for services rendered • Assign codes for reimbursement, research, and regulatory compliance • Identify discrepancies, potential quality-of-care issues, and billing issues • Research and resolve coding discrepancies and rejected or denied claims • Maintain patient confidentiality and comply with HIPAA regulations • Code, prepare, and submit clean claims to insurance companies electronically and on paper • Assist with healthcare claims resolution and collection of appropriate reimbursement • Review and bill secondary and tertiary insurance claims • Maintain daily billing queues and follow up on claim issues related to coding workflow • Manage daily workflow in a production environment and complete assignments on time • Update coding and billing knowledge through continuing education and professional publications • Participate in required virtual meetings via Teams or Zoom • Perform other assigned duties

🎯 Requirements

• High School Diploma or GED required • 3+ years of progressive experience in medical coding/reimbursement • Advanced knowledge of ICD-10-CM, CPT, and HCPCS coding • Knowledge of IHS coding conventions • Experience using AdvancedMD and NextGen databases highly desired • Knowledge of insurance payer requirements, benefit coverage, referrals, and authorizations • Knowledge of insurance billing and collection guidelines, including HMO/PPO, Medicare, Medicaid, and third-party payers • Knowledge of LCDs, payer billing guidelines, and medical policies • Knowledge of online payer portals such as Availity, NaviNet, and Orthonet • Knowledge of computer systems, data entry, spreadsheet applications, and MS Office including Word, PowerPoint, and Excel • Knowledge of healthcare legislation, regulations, and CMS regulations • Ability to multi-task, meet deadlines, work independently, take initiative, and collaborate effectively • Strong written, verbal communication, organizational, and customer service skills • Detail-oriented self-starter with strong work ethic • Ability to maintain confidentiality and follow HIPAA regulations • Active coding certification and required annual CEUs

🏖️ Benefits

• Medical, Dental, and Vision coverage • Employee Assistance Program (EAP) • Life & Long-Term Disability Insurance • 401(k) with employer match • Paid time off starting at 15 days per year • Paid parental leave • Tuition reimbursement