Certified Coder

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Primary Health Solutions

WebsiteLinkedInAll Job Openings

201 - 500 employees

Primary Health Solutions is a leading Federally Qualified Health Center (FQHC) in Southwest Ohio. Our mission is to improve community wellness through access to quality, affordable, and integrated primary healthcare. Primary Health Solutions strives to provide services to all members of the community regardless of their ability to pay.

📋 Description

• Responsible for entering/auditing/coding patient services to ensure encounters transfer properly for submission to insurance payers. • Analyze coding related claim issues, process gaps and denials to trend feedback for providers by location and/or specialty. • Review provider documentation (including hospital procedures) and translate services into correct codes. • Append payer specific modifiers and claim criteria when applicable. • Review incomplete encounters and code based on available documentation in EHR systems. • Know and understand several different coding systems, including ICD-10-CM, ICD-10-PCS, CPT, Level 1 HCPCS and Level 2 HCPCS. • Use computers / billing software to create and bill encounters that generate clean claims. • Attend internal meetings relevant to EHR workflows and share best coding practices. • Assist Operations when coding guidance is requested for existing or new services. • Understand payer reimbursement and PPS visit qualification for Medicare and Medicaid. • Trend areas of focus where provider training or re-training is needed. • Monitor, trend and resolve tasks related to coding edits, rejections, and denials. • Communicate with providers, patients, and insurance payers. • Review patient accounts and correct any missing or inaccurate information. • Investigate and appeal claims that were denied incorrectly. • Complete coding projects such as quarterly or ad hoc provider chart audits. • Adapt to updates and changes in billing software. • Perform all other duties and tasks as assigned.

🎯 Requirements

• Knowledgeable and experienced with Medical Terminology. • Multitask oriented, organizational and team skills. • Proficiency with computers, Microsoft Office 360 (Outlook, Word & Excel), Adobe and medical billing software. • Knowledge of unfair debt collection practices and insurance guidelines. • Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS. • Communication skills with patients/healthcare companies. • Basic accounting and bookkeeping practices. • Certified Professional Coder (CPC) certificate with some medical billing experience. • Ability to speak Spanish helpful.

🏖️ Benefits

• Stricter patient confidentiality and information security • Opportunities for training office staff on billing/coding updates