Coding Compliance Specialist

Family Care Network; Washington (District of Columbia); Vor Ort; USD 35.000 - 49.000; Vollzeit

Benefits dieser Stelle

Health benefits

Dental plans

Vision coverage

HSA with employer contribution

EAP and wellness programs

401(k) plan

Zusammenfassung

Family Care Network seeks a Coding Compliance Specialist to support clinicians with coding and documentation requirements. You will monitor coding review desks and perform internal chart audits to ensure accuracy and compliance.

The role requires healthcare coding and billing experience, knowledge of ICD/CPT, and HIPAA confidentiality. AAPC or AHIMA coding certification is required. Full-time, 8:00 am to 5:00 pm, non-exempt (hourly) with compensation within the stated wage scale.

Qualifikationen

• High School Diploma or GED required.
• AAPC or AHIMA Coding Certification required.
• Experience in healthcare coding and medical billing.
• Confidentiality and HIPAA compliance knowledge.

Aufgaben

• Conduct chart audits for documentation changes to support coding.
• Research coding errors and identify trends for process improvements.
• Monitor coding review desk to answer coding questions from staff.
• Assist in developing coding and billing training plans for providers and staff.
• Process billings in accordance with insurance carrier requirements.
• Adhere to scheduled work hours and perform other duties as assigned.

Kenntnisse

Healthcare coding

Billing processes

Data entry

HIPAA confidentiality

Communication

Ausbildung

High School Diploma

AAPC or AHIMA Coding Certification

Tools

Health information systems

EMR

MS Word

MS Excel

Form 1500

Jobbeschreibung

Job Description

Job Description

Description:

Title:

Coding Compliance SpecialistLocation:

FCN Meridian Administrative OfficeCity:

Bellingham, WAPosition:

Full-time,Monday - Friday 8:00am - 5:00pm, non-exempt (hourly)

Compensation

The full wage scale is $25.75 - $35.45 per hour. Placement within the wage range is determined by a candidate’s relevant experience.

Benefits:

• At FCN, we offer a comprehensive benefits package designed to support your well-being and that of your family, with flexibility and quality care.
• Health Benefits:Three Medical plan options
• Two Dental plans, including orthodontia for children and adults
• Employer-paid Vision coverage for employee and family
• Expanded Employee Assistance Program (EAP) and mental health programs, including wellness and discounted gym memberships
• Flexible Spending Account (FSA), Healthcare and Dependent Care
• Health Savings Account (HSA) with an employer contribution of $1,500 (pro-rated based on enrollment eligibility)
• Health Reimbursement Account (HRA), up to $1,500 ($3,000 for family coverage)
• Employer-paid Life/AD&D insurance with optional supplemental additional coverage including a guaranteed issue amount with no health questionnaire
• Voluntary Accident and Hospital insurance plans with annual wellness benefits*Eligibility for these benefits depends on your full-time or part-time status.

Time Off & Wellness:

• Paid Time Off (PTO), Paid Sick Leave (PSL), and Extended Illness Bank (EIB) to support your vacation, health, and personal needs
• PTO, PSL, and EIB accrue starting on your first day, and you can use paid time off after the applicable days of employment
• Full-time employees generally begin earning 18 days of PTO, increasing 33 days over time per our PTO policy. You can rollover unlimited PTO hours into the next year.
• PSL accrues at 1 hour per 40 hours worked
• EIB accrues up to 32hours per year (pro-rated based on hours worked) for both part-time and full-time employees, with a maximum of 480 hours
• Retirement:401(k) plan with employer match, both Traditional and Roth options available
• 401(k) Profit Sharing Plan
• Free financial planning guidance to support your retirement goals*Eligibility for these programs is based on your years of service and required hours.

Additional Benefits:

Eligibility for FCN applicable bonuses

Job Summary:

The primary function of this position includes supporting FCN staff and Clinicians regarding Coding and Documentation requirements. This will include monitoring and responding to coding review desktop as well as performing internal chart audits.

Essential Job Functions:

• Conduct chart audits for possible documentation changes needed to support coding. Based on audit results, assists in providing feedback to enhance accuracy of medical record documentation.
• Research coding errors, identifies trends, and assists in problem solving solutions.
• Monitor coding review desktop to answer coding questions from Physicians, Advanced Practice Providers, Managers and billing staff as needed.
• Assist in developing coding and billing training plans for providers and staff.
• Working knowledge of charge entry according to established FCN policies and procedures.
• Process billings in accordance with insurance carrier requirements.
• Employee seeks assistance as needed and communicates questions in a timely manner and to appropriate staff (supervisor, colleagues, etc.).
• Adheres to assigned work schedule (attendance and punctuality).
• Other duties as assigned.

Knowledge, Skills & Abilities:

• Proven experience with healthcare coding and billing processes.
• Demonstrated deep working knowledgeof diagnosis and procedural coding.
• Ability to work independently with minimum supervision.
• AAPC or AHIMA Coding certification or comparable job-related coding experience.
• Proven experience keyboarding & data entry accurately and efficiently.
• Ability to perform detailed work accurately.
• Intermediate computer skills: Health information systems, EMR, MS Word & MS Excel
• Knowledge base in claims processing for medical billing.
• Working knowledge of Form 1500, CPT and ICD Codes.
• Calculate accurate payment amounts on insurance.
• Specialized knowledge of commercial insurance, federal and state billing requirements.
• Demonstrated customer service skills.
• Proven knowledge of a medical office practice and medical terminology.
• Proven ability to solve problems, issues and concerns in a professional manner.
• Experience working as part of a team and modeling a positive work ethic & customer friendly relations.
• Ability to prioritize and multitask detailed projects with frequent interruptions.
• Demonstrated ability to establish positive employee relations including conflict resolution.
• Proven experience discerning and maintaining confidentiality, in compliance with applicable State & Federal laws (i.e. HIPAA).
• Demonstrated ability to comprehend and communicate information accurately and clearly (verbally and in writing, in person and via phone) with patients, all levels of personnel, and other individuals and groups.

Requirements:

• Education & Experience:High School Diploma, GED or equivalent knowledge and skills obtained through a combination of education, training, and experience.
• Medical office experience preferred.
• AAPC or AHIMA Coding Certification required.

Physical Requirements:

While performing the duties of this job, the employee is occasionally required to: stand; walk; sit; use hand to finger coordination, handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance, stoop, kneel, crouch; talk or hear. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required include: close vision, peripheral vision, depth perception and the ability to adjust and focus.

Immunization Requirements:

Employees are required to meet immunization standards in accordance with federal, state, and organizational health and safety guidelines, as applicable to the role. A simple process is in place for employees to request exemptions for medical or religious reasons.

Family Care Network is a Drug-Free, Equal Opportunity Employer.