Certified Medical Coder

Raphael Health Center Inc; Indianapolis (IN); On-site; USD 40,000 - 60,000; Full time

Job summary

Raphael Health Center Inc in Indianapolis, Indiana is seeking a skilled medical coder with a strong background in medical terminology and claims processing. Responsibilities include analyzing patient charts for proper coding, conducting audits, and following up on claims denials.

The ideal candidate will hold a CPC or HCPCS Certification and possess solid understanding of managed care, Medicaid, and Medicare billing cycles. Proficiency with MS Office and strong customer service skills are essential for this role.

Qualifications

• Business school training in medical billing preferred or comparable two years.
• Current CPC or HCPCS Certification is required.
• Demonstrated knowledge/experience with medical terminology and medical coding.
• Thorough understanding of managed care concepts including HMO, MCE and capitation.
• Solid understanding of Medicaid and Medicare.

Responsibilities

• Analyze patient charts for coding accuracy.
• Consult with providers on coding classification.
• Conduct audits on patient charts.
• Handle claims denial follow-up.
• Assist clinic staff with coding procedures.

Skills

Medical coding knowledge

Claims processing

Strong communication skills

Customer service

Bilingual (Spanish)

Education

Business school training in medical billing

CPC or HCPCS Certification

ICD-10 certification

Tools

MS Office

Practice Management Systems (ECW preferred)

Job description

Description

Scope of Tasks & Responsibilities

• Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
• Collect health information as documented by medial provides and code appropriately. Consult with providers for further classification of items on patient charts to avoid misinterpretations.
• Maintain certification by staying up to date on new coding rules and regulations.
• Conduct audits of patient charts to verify appropriate coding was applied and review with physicians for training purposes.
• Review of patient medical charts to identify proper coding for denied claims.
• Collect and distribute coding related information and billing issues.
• Handle claims denial follow-up.
• Perform billing functions as it pertains to coding.
• Assist Clinic staff with patient coding and related procedures
• Collaborate with supervisor to increase revenue and system efficiency
• Communicate all outstanding billing required from Providers on a timely basis.
• Maintain confidentiality in accordance with RHC policy, HIPAA and any other applicable regulatory requirements.
• Exemplify the RHC mission through a personal example of excellent service to patients, visitors and coworkers.
• Attend regularly scheduled staff meetings
• Other duties as assigned

Requirements

Required Education, Certification, Experience and Skill

• Business school training in medical billing preferred or comparable two years
• Current CPC or HCPCS Certification. ICD-10 certification a plus
• Have demonstrated knowledge/experience with medical terminology, claims processing, and medical coding.
• Have a thorough understanding of managed care concepts including HMO, MCE and capitation
• Have a solid understanding of Medicaid and Medicare.
• Have a solid understanding of the complete billing cycle.
• Dental billing experience a plus.
• Optometry billing experience a plus.
• Proficient with MS Office and Practice Management Systems [ECW preferred].
• Strong interpersonal and communication skills with an ability to work effectively with a wide range of people, supervisors, co-workers and vendors.
• Exceptional customer service skills
• Bilingual in Spanish a plus.