Billing Coding Specialist Certified

Willapa Behavioral Health; Long Beach (WA); Hybrid; USD 38,000 - 60,000; Full time

Job summary

Willapa Behavioral Health is seeking a Billing Coding Specialist - Certified to handle medical coding and transcriptions for insurance claims. The role includes updating codes, preparing claims, and tracking payments, while providing courteous patient support.

Responsibilities include analyzing records, ensuring proper sign-offs, and using ICD-9-CM, CPT-HCPCS, DSM-IV coding; remote telehealth may be used as directed by management, with site-based on-site work as needed.

Qualifications

• High school diploma or higher; related credentials preferred.
• Good organizational skills and ability to follow procedures and guidelines.
• Experience with medical/mental health claims processing.
• Experience billing and processing claims with public and private insurance.
• Explain charges to patients professionally and empathetically in disputes.
• Technologically savvy; up to date with software developments.
• Excellent verbal and written communication; proficient in EMR documentation and telehealth.
• Must pass criminal background check and comply with drug-free workplace policy.
• Excellent customer service with a client focus.
• Able to sit, stand, and lift up to 25 pounds; valid driver’s license and reliable vehicle.
• Able to drive in varied Northwest weather; flexible to fill-in shifts.
• Meet WA health care vaccination requirements.

Responsibilities

• 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; use the codes to bill insurance providers.
• Track patient data over multiple visits.
• Manage detail, specifically coded information.

Skills

Organizational skills

Communication skills

Customer service

Tech savvy

Education

High school diploma

Associates degree

Coding Certification (accredited)

Tools

EMR software

Microsoft Office

Billing software/claims processing system

Telehealth tech

Job description

Overview

JOB TITLE: BILLING CODING SPECIALIST - CERTIFIED

DEPARTMENT: Administrative

SUPERVISOR: Finance Director

EXEMPT/NON-EXEMPT: Non-Exempt

SUPERVISES: N/A

JOB SUMMARY:

As Billing Coding Specialist, using established medical codes, transcribe patient history to be used by health care providers and insurance companies. The Billing Coding Specialist updates codes for services received and translates each code for the patient’s health care insurance provider; prepares the claims document, submits, organizes, and tracks all insurance claims to ensure payment. The Billing Coding Specialist also handles customer inquiries, arranges payment plans, and handles collections if a payment does not materialize.

General Requirements

1. Adhere to Willapa Behavioral Health Service Excellence Standards / Code of Ethics and Policies and Procedures
2. Adhere to rules of confidentiality
3. Respect and accommodate a diverse population
4. Maintain appropriate boundaries with clients and staff
5. Work on-site as necessary or remotely using telehealth technology as determined by management

Responsibilities

1. Read and analyze patient records; obtain clarification on notes and charts to ensure accuracy
2. Ensure all records are properly signed off on
3. Assign the correct codes to all diagnoses and services
4. Enter and organize the codes into the management software
5. Be familiar with ICD-9-CM, ICPM, DSM-IV, and CPT-HCPCS coding systems; use the codes to bill insurance providers
6. Track patient data over multiple visits
7. Manage detail, specifically coded information

Qualifications

MINIMUM QUALIFICATIONS

1. High school degree
2. Well organized: ability to formulate and follow efficient procedures and guidelines
3. Experience with claims processing in a medical or mental health environment
4. Experience billing and processing claims with public and private insurance
5. Effectively explain all charges to patients and their families and remain professional and empathetic in disputes over charges and payment
6. Technologically savvy: up to date with technological developments in the field, especially as it relates to software developments
7. Excellent verbal and written communication skills; proficiency in documenting in the electronic medical record (EMR) and utilizing telehealth and Microsoft Office suite
8. Undergo and pass criminal background check upon initial employment and any subsequent checks required by the agency
9. Meet requirements of the agency’s drug-free workplace policy
10. Excellent customer service with a client focus
11. Able to sit, stand, and move for long hours and lift up to 25 pounds
12. A valid driver’s license and reliable vehicle
13. Able to drive in daylight, darkness, and typical Northwest weather conditions
14. Flexible to fill-in shifts if needed
15. Other duties as assigned
16. Meet the current Washington health care vaccination requirements for health care workers

Required Qualifications

1. Coding Certification by an Accredited organization and/or Associates Degree