Clinical Coder

Think Aksarben LLP; United States; On-site; USD 55,000 - 75,000; Full time

Job summary

Think Aksarben LLP is seeking aClinical Coder to ensure accurate and timely patient record coding. You will serve as educator, SME, and liaison on coding matters, investigating issues and leading process improvements to minimize denials and improve the patient experience.

The role requires knowledge of ICD-10 and CPT, EHR systems, and strong communication with physicians and billing staff. An Associate degree in Medical Coding and CPC certification are preferred, with CRC and coding audit

Qualifications

• Associates Degree in Medical Coding or equivalent experience required.
• Certified Procedure Coder CPC through AAPC.
• CRC and/or coding audit experience preferred.

Responsibilities

• Code patient records accurately and timely.
• Review charge submissions for accuracy and apply modifiers.
• Scrub claims and prepare for insurance submission.
• Communicate with providers for documentation clarification.
• Educate staff on coding changes and regulations.
• Resolve payer denials and advise reprocessing.
• Improve patient experience through responsive service.

Skills

Medical terminology

ICD-10/CPT

EM coding

Regulatory knowledge

Communication skills

Teamwork

Education

Associates degree in Medical Coding

Certified CPC

CRC certification

Tools

EHR software

Word/Excel

Outlook

Job description

CORE VALUE COMMITMENT

In common mission our teams work together with our patients at the center We strive to continuously improve We value one anothers diversity of talent experience and perspective We each contribute to something bigger than ourselves while promoting integrity belonging and collaboration

JOB SUMMARY

The Clinical Coder is responsible for performing and ensuring the accurate and timely completion of patient record coding This role serves as the educator subject matter expert and liaison for all coding matters The Clinical Coder investigates and resolves coding related issues and leads the process improvement efforts to minimize inefficiencies enhancing the patient experience

ESSENTIAL JOB FUNCTIONS

Perform coding activities to assure accurate completion of coding for all patient records including review of each charge submission for accuracy addition of appropriate modifiers scrubbing of claims preparation for insurance submission and closing of clean batchesAnalyze medical records for complete documentation and directly communicate with providers for clarification on any documentation that is incomplete or inaccurateRemain current on all coding related regulations standards guidelines industry trends and Medicare announcementsEducate physicians clinicians and other healthcare staff on changes to coding policies standards regulations and advocate for proper documentation practicesInvestigate and problem solve all contractual obligation CO denials received from the billing staff on charges reviewed and coded Inform billing staff of the proper correction needed to reprocess the denied claimsInvestigate and resolve all patient requests relating to the billing and coding of patient visits and subsequent bill receivedImprove patient experience by being inquisitive responsive innovative and flexible

KNOWLEDGE SKILLS & ABILITIES

Knowledge of medical terminology ICD 10 and CPT codesKnowledge of Evaluation & Management codingKnowledge of regulatory requirements related to codingSkill in using a computer and a variety of software including Electronics Health Records EHR software Word Excel Access and OutlookSkill in communicating in a professional manner both verbally and in writingAbility to work independently and in a team environmentAbility to act as a good representative of the companyAbility to work flexible hours

EDUCATION & EXPERIENCE

Associates Degree in Medical Coding or equivalent experience required Certified Procedure Coder CPC through National American Academy of Professional Coders AAPC Local involvement in AAPC and 2 years of coding experience in a primary care setting preferred Certified Risk Adjustment Coder CRC and prior medical coding audit experience preferred

WORKING CONDITIONS AND PHYSICAL EFFORT

This role operates in a healthcare setting This position requires frequent sitting and computer work and allows employee to vary physical position or activity for comfort Must be able toStand 15 or longer of an 8 hour workdayWalk 5 of an 8 hour workdaySit 80 of an 8 hour workdayRequires ability to lift up to 10 pounds occasionallyRequires employee to bend squat kneel and reach above shoulder level occasionally and twist occasionallyRequires repetitive use of hands for simple grasping fine manipulation computer useRequires all sensory skills speech vision smell touch and hearing corrected to near normal range

NOTE

The information above is a reflection of the general nature of job duties From time to time additional duties may be assigned