Health Services
Medical Biller/Coder
LINN COUNTY DEPARTMENT OF HEALTH SERVICES Class Code: 757
AVAILABLE POSITION
HEALTH SERVICES MEDICAL BILLER/CODER
Administration/Billing Program (Classification 757)
SEIU Represented Full-Time (37.5 hours/week) position
ESSENTIAL FUNCTIONS:
- Strong working knowledge of CPT, ICD-10, HCPCS, modifiers, coding and documentation guidelines.
- Review and verify documentation supporting diagnoses, procedures, treatment results, complications, potential quality of care
and billing/procedural issues.
- Audit clinical documentation and coded data to validate documentation supports services rendered for reimbursement and
reporting purposes and identify discrepancies and reportable elements.
- Responsible for researching codes and abstracting medical information to determine that accurate, complete and billable codes
are provided for Outpatient/Physician Clinical services for the specific program. Identifies and reports coding opportunities and
recommendations for improvement. Monitors report trends and escalate discrepancies to management.
- Ensure compliance with coding standards across various medical coding encounters including Mental Health, Substance
Disorders and various Public Health programs.
- Input all charges related to services provided by the Health Department into the billing system in accordance with established
processes with a strong emphasis on accuracy to ensure efficiency in processing and receipt of payments.
- Post all payments, by line-item, received for provider’s services into billing system including co-payments, insurance payments,
and client payments in accordance with established processes with an emphasis on accuracy to ensure maximum revenue
collection.
- Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills to achieve maximum
reimbursement in a timely manner with an emphasis on client satisfaction.
- Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract
rates.
- Follow-up on all outstanding client account balances at 60 – 120+ days from the date of service in accordance with practice
protocol with an emphasis on maximizing client satisfaction and practice profitability using the A/R aged reports.
- Process refunds to insurance companies or client in accordance with practice protocol.
- Will be providing cross coverage with other team members.
- Maintain an organized, efficient and professional work environment.
- Adhere to all practice policies related to OSHA, HIPAA and Medicare and Medicaid Compliance.
- Assure compliance with Oregon Revised Statutes, Oregon Administrative Rules, related Federal regulations (42 CFR, etc.) and
department policies.
- Able to use collaborative problem solving and communication skills in a team setting
MINIMUM QUALIFICATIONS:
Graduation from high school or equivalent is required. Two years of experience in healthcare billing or certification in
healthcare billing/coding. AHIMA or AAPC billing certification is required - Certified Coding Specialist (CCS), Certified
Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Coding Specialist Physician based (CCS-P), Registered
Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT). Previous coding experience
within a multi-specialty clinic preferred. Some college coursework in accounting/finance with knowledge of Microsoft Excel is
desired. Must have Medicaid/Medicare billing experience.
Must be able to pass a criminal history check and possess or obtain a valid Oregon driver's license with an acceptable driving
record that meets the County's requirements.
