Certified Coder, CPC/CCS

🕒 August 13

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

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

💵 $25 - $28 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Perform professional coding services for the RCM Team following AMA and CMS medical coding guidelines • Review and audit charge encounters and tickets for correct CPT, ICD-10, and HCPCS coding across multiple facilities and systems • Assist with pre- and post-audits while maintaining compliance with payer reimbursement policies and government regulations • Monitor audit progress and communicate results to the Coding Compliance Manager • Code and abstract patient encounters, including diagnostic and procedural information, reportable elements, and complications • Analyze medical records and identify documentation deficiencies • Review and verify documentation supporting diagnoses, procedures, and treatment results • Audit clinical documentation and coded data to validate services rendered for reimbursement and reporting • Assign codes for reimbursement, research, and regulatory compliance • Serve as a coding resource and subject matter expert to providers, RCM leadership, peers, and department staff • Identify discrepancies, quality-of-care concerns, billing issues, rejected claims, and denied claims • Research and facilitate corrective action plans to resolve discrepancies and prevent coding errors • Prepare and submit clean electronic and paper claims to insurance companies • Assist with healthcare claim resolution and collect appropriate reimbursements • Review and bill secondary and tertiary insurance claims with correct charges, forms, and supporting documentation • Maintain billing queues and follow up on coding-related claim issues and edits • Maximize collections efforts to improve Accounts Receivable performance • Provide customer service to patients, providers, and other customers • Maintain confidentiality and comply with HIPAA regulations • Manage daily workflow and complete assignments in a timely manner • Participate in required virtual meetings via Teams or Zoom • Keep coding and reimbursement knowledge current through education and professional publications • Report to the RCM Manager and work closely with the RCM Management Team and staff • 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 codes and coding conventions • Active coding certification and required annual CEUs • 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 other third-party payers • Knowledge of LCDs, payer billing guidelines, medical policies, and medical terminology • Experience resolving rejected or denied claims related to coding • Knowledge of online payer portals such as Availity, NaviNet, and Orthonet • Knowledge of computer systems, data entry, spreadsheet applications, and MS Word, PowerPoint, and Excel • Strong written and verbal communication, organizational, and customer service skills • Knowledge and understanding of healthcare legislation, regulations, and CMS regulations • Ability to multitask, meet deadlines, work proactively and independently, and take initiative • Ability to collaborate effectively with medical staff, revenue cycle teams, and external parties • Ability to work 40 hours per week, Monday–Friday • Must work in Texas, North Carolina, South Carolina, or Florida

🏖️ 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 • Fully remote work arrangement • Required continuing education opportunities and annual CEUs