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Medical Coding Specialist

Shasta Community Health Center -
Redding, CA

Apply Now

Job Details

Full-time
$22.00 - $32.50 an hour

Benefits

Paid jury duty
403(b) matching
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Employee assistance program
Vision insurance
Employee discount
403(b)
Gym membership
Bereavement leave
Life insurance

Qualifications

Appeals
Patient question and concern management
National Correct Coding Initiative (NCCI) guidelines
Medicare
Commercial insurance knowledge
Managed care
Accounts receivable management
Spreadsheets
Medical Coding Certification
Health insurance policy knowledge
Client inquiry handling
Patient complaint handling
Mid-level
Windows
Financial issue resolution
Analysis skills
Phone customer support
Quality assurance
Charge capture (medical billing)
Medicare regulations
Electronic health record (EHR) management for billing and coding
Team training
Medical insurance appeals management
Payment posting in medical billing systems
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical claims submission
Billing issue inquiries
Productivity software
Clinical documentation standards
Insurance claims appeal handling

Full Job Description

Base Pay: $22.00 - $32.50 / hour

JOB SUMMARY

Certified coder with strong analytical skills to review charges and ensure accurate and appropriate billing to all payers including preferred experience with managed care plans. Knowledge of Medicare & Medi-Cal guidelines, including use of CCI, NCD, LCD edits and familiar with Medi-Cal modifiers & eTAR requirements. Experience in electronic claims submission, electronic health records, posting payments, working A/R including completion of CIF’s & appeals. Works closely with the Billing Manager and the Director of Electronic Data Interchange as a team to maintain all aspects of the revenue cycle.

JOB DUTIES AND RESPONSIBILITIES

Accurate and review of appropriate billing of all charges based on CPT/ICD-10-CM and payer guidelines, especially Partnership HealthPlan.
Use of EHR to verify correct coding and medical necessity.
With assistance from training staff, provide training to medical front office staff of departmental and billing procedures
Assist billing staff with follow up of denied claims
Knowledge of coding and clinic operations as it pertains to Federally Qualified Health Centers
High Skill level in Microsoft Office Suite Programs
Utilize NextGen EPM/EMR to verify information and confirm complete documentation.
Requests adjustments to accounts based on organizational guidelines
Daily feedback reports to Center Manager’s and Billing Manager
Complete assigned tasks and assist with coding and error resolution
Assist with telephone inquiries and provides information requested
Assist with patient complaints preparing information for Senior Management review
Participates in educational activities
Maintains strictest confidentiality
Communicates routinely with satellites & other departments on billing issues and changes.

KNOWLEDGE, SKILLS, AND ABILITIES

Ability to work without direct supervision.
Ability to take directions and meet deadlines in a timely manner
Knowledge of medical terminology and clinic systems
High skill level for Microsoft office programs with expertise in excel.
Knowledge of medical billing, accounting procedures and applications.
Knowledge of claims review, analysis and quality assurance.
Knowledge of commercial insurance and government reimbursement programs.
Possess good verbal and written communication skills.
Multi-task oriented with attention to detail.

EDUCATION & EXPERIENCE

Obtain Certified Coder (CPC, CCS-P) credential from AAPC within 6 months of hire
CGT/SGT certification preferred
Expert level experience using MS Windows operating System preferred
Two to four years related experience
Coding champion and help train employees ICD-10 Coding

BENEFITS

SCHC understands the importance of good health for every employee. We offer a comprehensive benefits package to ensure employees and their families receive the optimal in health care coverage, along with options to meet their needs.

Competitive wages
Medical insurance
Dental insurance
Vision insurance
403(b) retirement plan with matching employer contribution
Long-term disability coverage
Life insurance
Accidental death and dismemberment insurance
Supplemental Insurances
Flexible spending account
Paid vacation
Paid sick
Paid holidays
Paid CME time and CME allowance
Employee assistance program
Jury duty pay
Bereavement pay
Prescription discount program
529 college savings plan
Educational reimbursement program
Gym membership discounts
Free telemedicine service for benefit eligible employees

Shasta Community Health Center is an Equal Opportunity Employer.

Apply Now

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