Coder, Healthcare Administration, Medical Billing and Coding

Overview

Responsible for providing expertise in reviewing and assigning accurate medical codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers. This position reports to the Director of Revenue Cycle.

• High school graduate or equivalent. Associate degree in medical coding or related field preferred.
• Certified Professional Coder (CPC) credential is required; AAPC preferred.
• One year of FQHC medical billing and/or coding experience preferred.

• Passionate
  
  Purpose:
  
  We’re committed to enhancing lives, every day.
• Unmatched Support: We are committed to a fun and supportive team environment.
• Balanced Lifestyle: No weekends or holidays, ensuring a healthy work‑life balance.
• Collaborative Care: Work with a dedicated team to provide the best patient outcomes in the right settings.
• Exceptional Rewards: Competitive pay, and benefits.

Health Insurance: 100% employer‑paid employee coverage for medical, dental, and vision plans for full‑time employees.

Life Insurance: Employer‑paid for 1x annual salary up to $200k (optional coverage available for additional cost).

Disability Insurance: Short‑term disability insurance based on age & salary. 100% employer‑paid long‑term disability insurance.

Retirement: 403(b) plan – Heritage Health matches up to 4% of employee contributions.

Paid Time Off: 120 hours Paid Time Off (PTO) in first year, 56 hours Extended Illness Bank (EIB) in first year, 8 paid holidays for full‑time employees; amounts pro‑rated for part‑time employees (0.5 FTE or higher).

Employee Assistance Program (EAP): Free telehealth visits for healthcare, counseling, and health & wellness coaching for all employees and their immediate household members.

• Working knowledge of current CPT and ICD
  10 codes and basic medical terminology.
• Skill in operating computers, calculator, copiers, printer, telephone.
• Establish and maintain positive working relations with coworkers.
• Strong organization skills with ability to prioritize and be detail oriented.
• Proficient in Microsoft Office:
  Outlook, Word, Excel.
• Excellent written and oral communication skills.
• Initiative to provide quality service and improve efficiency.
• Ability to perform in fast‑paced environment while being professional, courteous and calm.
• Understand and interpret policies and regulations.
• Ability to compose queries in an understandable manner.

• Verifying and coding diagnosis, evaluation and management, procedures or other codes required for completeness and accuracy.
• Review electronic medical records initiated by a health care provider.
• Review and verify component parts of medical records to ensure completeness and accuracy of diagnosis, operations, and special therapeutic procedures.
• Code and review principal diagnosis, co‑morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs using ICD
  10, CPT, HCPCS, and other coding classifications.
• Perform edit checks on data entered prior to transmittal and correct errors as indicated.
• Analyze medical record documentation for consistency and completeness for coding purposes using established criteria and regulations.
• Examine all documents for authorized signature and patient identification to ensure sufficient documentation to support diagnosis and treatment and result description.
• Research and manage coding related queries to clinical staff and provide guidance.
• Communicate findings, current coding, documentation, and billing updates to the Senior Compliance Specialist and direct leadership in a timely manner.
• Remain current on trends and changes in laws and regulations governing medical record coding and documentation.
• Demonstrate understanding of confidentiality to protect patient and corporation.
• Actively participate in Heritage Health PCMH Care Team.
• Regular and predictable attendance is essential.
• Perform other job‑related duties as assigned.