Certified Coder I

Senior PsychCare; Houston (TX); In loco; USD 55.000 - 75.000; Tempo pieno

Vantaggi offerti da questo lavoro

PTO & Holidays

Comprehensive benefits (medical,Dental

Vision, 401k, disability, life

Descrizione del lavoro

Senior PsychCare in Houston, TX seeks a Certified Coder I to support our Billing Team. The coder will extract data from clinical documentation and assign ICD-10-CM/CPT codes and modifiers for billing and reporting. CPC certification is required.

The role focuses on outpatient coding for mental healthcare, with collaboration across clinical and administrative staff to improve revenue cycle processes. This is a full-time, in-person position with standard weekday hours.

Competenze

• Two years of outpatient coding experience, preferably Mental Healthcare.
• Ability to code for physicians, including E&M Levels.
• Effective oral and written communication skills.

Mansioni

• Assigns codes for diagnoses, treatments, and procedures for outpatient encounters.
• Submits claims promptly with accurate coding and billing information.
• Collaborates with physicians and staff to resolve billing and coding issues.

Conoscenze

Outpatient coding

E/M coding

Communication skills

Descrizione del lavoro

Certified Coder I

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

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.

The Certified Coder is responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 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.
• Follows 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.

Senior PsychCare's benefits include:

• 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.