HIM Medical Records Certified Medical Coder - FT

Georgetown Behavioral Health Institute; Georgetown (TX); On-site; USD 52,000 - 74,000; Full time

Job summary

Georgetown Behavioral Health Institute is seeking a Medical Coder to ensure accurate coding for services rendered and to support timely billing. You will audit and assign CPT, ICD-9 and ICD-10 codes, review clinical documentation, and collaborate with insurers, physicians, and the business office to resolve coding issues.

Strong attention to detail and knowledge of coding guidelines are essential. This role communicates with insurance companies about coding concerns and contributes data for

Qualifications

• Assign procedure and diagnosis codes for services rendered.
• Review claims data to ensure codes meet CPT/ICD rules.
• Research medical records to resolve issues from denied claims.
• Adhere to CPT, ICD-9 and ICD-10 coding guidelines.
• Communicate with insurers and healthcare professionals regarding coding questions.

Responsibilities

• Utilize specialized medical classification software to assign codes.
• Review claims data to ensure proper signatures and authorizations before submission.
• Conduct medical records research and contact insurers to resolve issues.
• Ensure documentation supports CPT and ICD-10 codes.
• Perform related duties and uphold organizational standards.

Skills

Medical coding

Audits

Claims review

Communication with insurers

Tools

Medical classification software

Job description

Medical CoderThe Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bills are satisfied in a timely manner. This position will also communicate with insurance companies about coding issues, submit statistical data for analysis and research by other departments and contact physicians and other health care professionals with questions concerning coding.

Essential Duties

• 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
• Performs related duties, as requested.
• Upholds the Organization's ethics and customer service standards.