Certified Coder I

seniorpsych; Houston (TX); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Paid Time Off

Comprehensive benefits package

Healthcare coverage on the 1st day of employment

Job summary

Senior PsychCare in Houston is seeking a Certified Coder I with experience in Mental Healthcare coding to support our Billing Team. This full-time position entails reviewing clinical documentation, applying ICD-10-CM/CPT-4 codes, and ensuring accurate claims submission.

The ideal candidate will have a CPC certification and at least two years of outpatient coding experience. We offer a comprehensive benefits package, including paid time off, health coverage from the first day of employment, and a strong emphasis on professional development.

Qualifications

• Minimum of two years coding experience in outpatient settings with a preference for Mental Healthcare.
• Ability to code for physicians, including Evaluation and Management (E-M) levels.

Responsibilities

• Review clinical documentation and assign appropriate ICD-10-CM/CPT-4 codes.
• Prepare and submit claims to insurance companies.
• Collaborate with medical staff to resolve billing issues.

Skills

Outpatient coding experience

Mental Healthcare coding

Effective oral and written communication skills

Education

Certified Professional Coder (CPC)

Job description

Certified Coder I with Mental Healthcare coding experience

Senior PsychCare has an immediate opportunity for a Certified Coder I with Mental Healthcare coding experience to support our Billing Team in Houston.

ABOUT US

Senior Psych Care provides fully integrative behavioral health services to the long‑term care patient at their facility. Services include individual, family, and group therapies, along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team.

Job Summary

The Certified Coder is responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD‑10‑CM/CPT‑4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurate code conditions and procedures as documented in the ICD‑10‑CM Official Guidelines for Coding and Reporting of Physician Services.

Principal Accountabilities

• Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient encounters.
• Utilizes technical coding principles and APC reimbursement expertise to assign appropriate ICD‑10‑CM diagnoses, CPT‑4, E‑M Levels, and modifiers.
• Reviews documentation to extract and enter data accurately for other abstracting fields.
• Follow coding compliance policies, official coding guidelines, regulatory requirements, and internal policies and procedures affecting the coding process.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), and adheres to official coding guidelines.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department‑based goals that contribute to the success of the organization.

Submission

• Prepare and submit electronic or paper claims to insurance companies or third‑party payers promptly.
• Ensure all required supporting documentation is included with each claim submission.
• Verify that claims are submitted with the correct coding and billing information. Track submissions to payers to ensure they manage them promptly and minimize denials.

Team Collaboration

• Collaborate with physicians, providers, and administrative staff to address billing and coding issues and improve processes.
• Provide guidance and training to staff members on proper documentation and coding practices.
• Participate in meetings or discussions related to revenue cycle management and billing optimization.

This is a full‑time, in‑person opportunity. Our work week is from Monday‑Friday, 8 am‑5 pm (NO WEEKENDS Required).

Minimum Qualifications

Experience / Knowledge / Skills

• Two (2) years of outpatient coding experience, preferred Mental Healthcare coding
• Ability to code for physicians, including E‑M Levels
• Effective oral and written communication skills

Licenses / Certifications

Certified Professional Coder (CPC) is required.

Benefits

• Paid Time Off and Paid Holidays
• Comprehensive benefits packages including Medical, Dental, Vision, 401k, Long Term and Short-Term Disability, Life Insurance
• Healthcare coverage available on the 1st day of the month following full‑time employment.