Certified Medical Coder

Dallas Behavioral Healthcare Hospital; DeSoto (TX); On-site; USD 34,440 - 48,216; Part time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Paid time off

Job summary

A healthcare facility in Texas is hiring a part-time Medical Coder to manage procedure and diagnosis coding for insurance billing. Responsibilities include reviewing claims, conducting medical records research, and ensuring compliance with industry standards. Ideal candidates will have a certificate or associate's degree in medical coding and at least one year of related experience. The position requires strong analytical skills, attention to detail, and proficiency with medical classification software.

Qualifications

• Must have at least 1 year coding experience, preferably with psychiatric services.
• Familiarity with CPT, ICD-9 and ICD-10 coding guidelines is essential.
• Ability to successfully pass background checks and drug screening.

Responsibilities

• Assign procedure and diagnosis codes for insurance billing.
• Review claims data for compliance with legal and insurance rules.
• Conduct research to resolve denied claims with insurance companies.

Skills

Knowledge of medical terminology

Critical thinking skills

Attention to detail

Advanced PC skills

Ability to communicate effectively

Education

Certificate or associate's degree in medical coding/CPC

Tools

Medical classification software

Microsoft Excel

Kronos

Job description

We are hiring a part-time Medical Coder to assign procedure and diagnosis codes for insurance billing, review claims data, research and correspond with insurance companies in an effort to obtain accurate reimbursement for healthcare claims.

Responsibilities

• Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
• Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission.
• Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims.
• Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10.
• Answer coding questions.
• Review clinical documentation to ensure it meets level of CPT codes and ICD-10 codes.
• Perform related duties, as requested.
• Uphold the Organization's ethics and customer service standards.

Qualifications

• Education: Certificate or associate's degree in medical coding/CPC. These additional certifications are not required but a plus: Certified Professional Coder (CPC), CPC-Hospital, CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA).
• Experience: A minimum of 1 year coding experience required, preferably with psychiatric services.
• Knowledge, Skills & Abilities:
  • Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and physiology; computer data entry; and medical law, privacy and ethics.
  • Knowledge of CMS rules and regulations and current coding resources.
  • Knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding and healthcare reimbursement methods.
  • Critical thinking skills and ability to resolve complex coding issues.
  • Knowledge of mathematical computations using addition, subtraction, multiplication, division, percentages in order to perform personnel/payroll assignment. Ability to integrate multiple facts, statistics, and/or mathematical values when solving mathematical equations.
  • Ability to accurately enter data, prepare and maintain records, files, and reports.
  • Outstanding skills in giving attention to details with display of dexterity in maintaining confidentiality.
  • Must have advanced PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word and Excel as well as ability to use financial software and payroll systems (Kronos a plus).
  • Communicate effectively with a variety of individuals and function calmly in situations, which require a high degree of sensitivity, tact, and diplomacy.
  • Ability to exercise appropriate judgment in answering questions and releasing information; analyze and project consequences of decisions and/or recommendations.
  • Skill to research and analyze various personnel/payroll matters to recommend alternative actions and/or take an appropriate course of action.
  • Skill to independently interpret reference materials to comply with law, rules, regulations, policies, procedures, etc.
  • Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines.
  • Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities.
• Screening: Must successfully pass background check, drug screen, physical and be able to provide positive employment references.
• Physical Demands: With or without reasonable accommodations, must be able to stoop, kneel, lift, move about in work area and throughout organization to accomplish task. Typing, data entry (finger dexterity) and ability to hold hands steady on keyboard when typing. Sit at extended period of time with erect posture. Reading forms/computer screens; express or exchange ideas orally and potentially loudly, accurately, or quickly; visually detect, determine, perceive, identify, recognize, judge, observe, inspect, assess; perceive the nature of sound with or without correction; perform repetitive motions of the wrist, hands or fingers. Light work most of the time, exerting up to 10 pounds of force frequently.

This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the hospital.

Dallas Behavioral Healthcare Hospital is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Benefits

Full-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.

Seniority level

• Associate

Employment type

• Part-time

Job function

• Health Care Provider

Industries

• IT Services and IT Consulting