Billing Coding Specialist

Willapa Behavioral Health; United States; Hybrid; USD 42,000 - 65,000; Full time

Job summary

Willapa Behavioral Health is seeking a Billing Coding Specialist to transcribe patient history, assign medical codes, and prepare and submit insurance claims. The role involves speaking with patients about charges, arranging payment plans, and handling collections when necessary.

The position requires attention to confidentiality, excellent communication, and proficiency with EMR systems and telehealth tools. On-site or remote work options may be available based on management decisions.

Qualifications

• Read and analyze patient records to ensure accuracy.
• Sign off on records and maintain proper documentation.
• Explain charges to patients professionally and handle disputes.
• Pass criminal background checks as required by the agency.

Responsibilities

• Read and analyze patient records; obtain clarification for accuracy.
• Assign correct codes to diagnoses and services.
• Enter and organize codes into the management software.
• Bill insurance providers using ICD-9-CM, ICD-CM, DSM-IV and CPT-HCPCS codes.
• Manage coded information with attention to detail.

Skills

Verbal communication

Written communication

Organization

Customer service

EMR systems

Telehealth

Microsoft Office

Driver's license

Education

High school diploma

Associates degree

Coding certification

Tools

EMR software

Coding databases

Job description

As Billing Coding Specialist, using the established medical codes, transcribe patient history to be used by both health care providers and insurance companies. The Billing Coding Specialist updates the codes for services received and translates each code as it applies to the patient’s healthcare insurance provider; prepares the claims document and submits, organizes, and tracks all insurance claims making sure that the payment is received. In addition, the Billing Coding Specialist deals with customers in terms of answering questions, arranging payment plans, and handling collections if a payment never materializes.

GENERAL REQUIREMENTS

Follow Willapa Behavioral Health Service Excellence Standards / Code of Ethics and Policies and Procedures

• Adhere to rules of confidentiality.
• Respect and accommodate a diverse population.
• Maintain appropriate boundaries with clients and staff.
• Work on-site as necessary or remotely using telehealth technology as determined by management.

ESSENTIAL FUNCTIONS:

• Read and analyze patient records; obtain clarification on notes and charts to ensure accuracy.
• Ensure all records are properly signed off on.
• Assign the correct codes to all diagnoses and services.
• Enter and organize the codes into the management software.
• Be familiar with ICD-9-CM, ICPM, DSM-IV, and CPT-HCPCS coding systems; using the codes, bill the insurance providers.
• Manage detail, specifically coded information.

JOB REQUIREMENTS:

MINIMUM QUALIFICATIONS

• High school degree
• Well organized: have the ability to formulate and follow efficient working procedures and guidelines.
• Effectively explain all charges to patients and their families and remain professional and empathetic in the face of dispute over charges and payment.
• Technologically savvy: up to date with technological developments in the field, especially as it relates to software developments.
• Excellent verbal and written communication skills, computer proficiency to document in the electronic medical record (EMR) and utilize telehealth and Microsoft office suite.
• Undergo and pass criminal background check upon initial employment and any subsequent checks required by the agency.
• Meet requirements of agency’s drug free workplace policy.
• Excellent customer service with a client focus.
• Able to sit, stand and move for long hours at a time and lift up to 25 pounds.
• A valid driver’s license and reliable vehicle.
• Able to drive in daylight, darkness, and typical Northwest weather conditions.
• Flexible to fill-in shifts if needed.
• Other duties as assigned.
• Meet the current Washington health care vaccination requirements for health care workers.

PREFERRED QUALIFICATIONS

• Coding Certification by an Accredited organization and/or Associates Degree
• Washington State Medicaid and Medicare experience.