Certified Professional Coder
Delta Health Center, Inc.is seeking a full-time, detail-oriented, and experienced Certified Professional Coder to join our team.
This role is critical in supporting our physicians and clinical staff to ensure accurate documentation and coding, contributing to the highest quality of patient care.
Position Responsibilities:
• Analyze medical record documentation to ensure accurate assignment of ICD10-CM, CPT, and HCPCS codes, adhering to established coding guidelines and ethical standards.
• Consult with clinical providers for coding and documentation clarification as needed.
• Conduct prospective and retrospective reviews of clinical documentation and coding.
• Provide individual and group feedback to clinical providers, medical staff, and other team members based on coding reviews and identified trends, in alignment with the compliance plan.
• Collaborate with clinical operations and compliance staff to develop and implement corrective action plans for provider documentation issues.
• Develop and revise education and training materials related to documentation and coding.
• Respond to coding questions from providers and staff promptly and accurately.
• Monitor and track coding and coding compliance activities, maintaining detailed records.
• Collaborate with the clinical operations team to address special requests for coding reviews related to patient complaints, denials, rejections, or incorrect coding, and provide feedback to the relevant parties.
• Conduct ongoing reviews and tracking of insurance rejections and denials with coding discrepancies, contacting insurance companies as necessary to resolve issues.
Required Skills & Qualifications:
• Proficiency in medical coding, including ICD-10-CM, CPT, and HCPCS coding systems.
• Knowledge and experience in patient eligibility, payer class, insurance type and subscriber requirements for appropriate claim validation and billing submissions required
• Strong analytical skills and attention to detail.
• Excellent communication and interpersonal skills for interacting with providers, staff, and insurance representatives.
• Ability to manage multiple tasks and prioritize effectively.
• Experience with electronic medical records (EMR) systems preferred.
• Familiarity with insurance guidelines and compliance standards.
Education & Experience:
• Certification as an AAPC Certified Professional Coder (CPC or CPC-A) Required
• FQHC Coding and Billing Knowledge Preferred but not required
• High school diploma or GED required; Bachelor’s Degree and/or advanced education or relevant coursework preferred.
• Minimum of 1 year of experience in medical coding
Additional Requirements:
• Must pass a standard background check.
Job Type: Full-time
Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off (vacation and sick leave)
• Vision insurance
Schedule:
• Monday (8:00 a.m.-6:00 p.m.) and Friday (8:00 a.m.-12:00 p.m.)
License/Certification:
• Certified Professional Coder License (Required)
Work Location: In person/On-site (Required)
Senior Google Cloud Platform Solution Architect needs 8 years experience architecting and implementing GCP cloud solutions. Senior Google Cloud Platform Solution Architect requires: AWS Certified: AWS Solutions Architect Professional certification. -Bachelor's...
...Job Summary: The Womans Hospital of Texas is seeking to recruit a Physician Assistant to provide support to a busy, employed Pediatric Surgery group. The position is open to established PAs or new grads interested in the pediatric surgery service line. Qualified...
...FOR WILLIAM VAUGHAN COMPANY** Role: Ensuring that all equipment and materials are used safely and effectively. Cutting and Installing metal corner beads Ensuring that all equipment and materials are used safely and effectively Requirements: A minimum of...
...were on the lookout for a bold, creative, and data-driven Social Media Manager to take our social presence to the next level - across both... ...Over 1M transactions processed monthly;- Over 800 merchants accounts serviced;- Over 270 team members across 30+ countries.By...
...Life and Health Insurance Agent Company: GIA Legacy Planning Location: Remote Position/Work from Home Job Type: Full-Time | Part-Time | Commission-Based Position Overview: We are looking for motivated Life and Health Insurance Agents who are interested...