Openings >> Certified Medical Coder
Certified Medical Coder
Summary
Title: Certified Medical Coder
ID:103500414
Department:Billing
Location:13395 N. Marana Main St., Marana, AZ 85653
Description
Join us, and become a part of our Diverse Team!

We are a culture of professionals who are “dedicated to providing service excellence in promoting health and well being."

MHC Healthcare's  Medical and Behavioral Health employees are committed to caring for special populations, improving health outcomes and building healthy communities.  Our goal is treating each client in an integrative setting where the individual has access to primary care, behavioral health, alternative and complementary therapies, employment services as well as other specialty medical services in one location. 


Senior Certified Coder:
 
Works with MHC certified coders and coding specialists to ensure compliance of abstracting and coding medical visits.  Performs professional coding and billing compliance audit reviews on work completed by coders and Provider staff.  Works closely with Providers, Central Billing Office, and IT department to ensure all patient visits are abstracted, coded and billed per CMS, CPT, and Correct Coding Initiative guidelines. Communicates with and assists in coding education of Providers and Support Staff.  Works with and educates Providers with completing required documentation of the electronic medical record system according to the organization’s policies and procedures.

 
EDUCATION AND EXPERIENCE:
 
  • Minimum of 7 years’ experience as certified coder to include Current CPC, CCS,and/or CCS-P certification
  • Minimum 7 years knowledge of federal and state rules and regulations (Medicare and AHCCCS) and other insurance rules as they pertain to coding and billing
  • Minimum of 5 years experience abstracting professional patient services of moderate complexity and applying fundamental coding principles and knowledge of reimbursement within a Practice Management setting
  • Minimum of 3 years’ experience with Electronic Medical Records
  • Experience in direct instructing within a large medical practice
  • High School Diploma or G.E.D
  • Proficiency in Microsoft office programs

KNOWLEDGE, SKILLS, AND ABILITIES:
 
  • Knowledge of ICD-9, CPT, HCPCS,  Correct Coding Initiative
  • Ability to perform in-depth abstract coding audits
  • Ability to demonstrate proficiency in meeting quality and quantity standards
  • Ability to be productive with minimal supervision
  • Effective organizational skills, multi-tasking, project and timeline planning, leadership and problem solving skills
  • Excellent written, verbal and teaching communication skills

DUTIES AND RESPONSIBILITIES:
 
  • Provides first-hand abstracting and coding support to coding staff
  • Audits coding staff for compliance on coding of medical visits base of scheduled assigned by DOO/ADOO
  • Works in tandem with MHC Corporate Compliance Officer to ensure coding procedures meet all CMS, OIG and insurance plan standards, policies and regulations
  • Use coding experience and knowledge to help ensure patient visits are coded as per CMS, CPT, and Correct Coding Initiative guidelines
  • Works with coding staff to ensure all encounters are coded and entered into the billing system with 24 business hours of receipt of fee slip and completed office visit
  • Works with CBO Manager to improve coding edits for claims scrubber
  • Identify trends and propose solutions for inaccuracies with coding
  • Provides orientation and training to new providers on coding and documentation guidelines
  • Presents changes in trends relating to coding process affecting coding, billing and payments to Director and Associate Director of Operations
  • Work with assigned coders on reviewing claim denials to ensure appropriate changes and resubmission of charges
  • Coordinates Provider education with Medical Director as it relates to coding of visits and documentation of medical visits
  • Uses professional sources to obtain updated standard and required changes to compliance of coding practices
  • Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications and participating in professional organizations as it pertains to job related duties/performance
  • Assists in coding medical visits when required
  • Member of the MHC Corporate Compliance Sub-Committee
  • Maintains a teaching resource center regarding coding education for providers
  • Performs all other related duties as assigned or requested

 
This opening is closed and is no longer accepting applications
 

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