Medical Coder

Community Health Center of Snohomish County; Colorado; Hybrid; USD 39,000 - 55,000; Full time

Benefits offered by this job

Health insurance (medical/dental/vison

Up to 120 hours vacation pro-rated by

Paid sick leave

10 paid holidays

403(b) Safe Harbor with employer match

Disability and life insurance

Language proficiency bonus $0.75/hour

Remote work after training

Job summary

Community Health Center of Snohomish County is seeking a Medical Coder to manage day-to-day coding and billing for grant-funded, state, county, and federal programs including Medicare and Medicaid managed care. The role emphasizes accuracy in ICD10/CPT coding, HIPAA compliance, and collaboration with providers to optimize reimbursements.

Benefits include comprehensive health coverage, vacation and holidays, retirement plan with employer match, disability and life insurance, and a language

Qualifications

• Reads, speaks, understands and writes proficiently in English.
• Knowledge of medical terminology.

Responsibilities

• Reviews and adjudicates coding of services from documentation in a timely manner.
• Maintains visit procedure codes and notes to identify ICD10 and CPT codes for charge processing.
• Ensures correct ICD10, CPT, and HCPCS codes for proper reimbursement.
• Assigns E/M codes from patient notes per coding guidelines.
• Researches correct codes for routine or unusual diagnoses and procedures.
• Identifies modifiers (including 340B) for billing and reporting.
• Consults with providers for data clarification and missing documentation.
• Ensures documentation adheres to billing policies.
• Adheres to attendance standards for daily operations.

Skills

English proficiency

Communication skills

Professional representation

Calm under pressure

Initiative & energy

Problem solving

Medical terminology

HIPAA compliance

Decision making (sensitive data)

Education

High School diploma or equivalent

CPC or CCS certification (preferred)

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Community Health Center of Snohomish County offers competitive wages and a comprehensive benefits package designed to address health, time off, retirement and career-advancement needs. Benefits available include health insurance (medical/dental/vision), up to 120 hours of vacation time pro-rated by FTE every 12 months, paid sick leave, 10-paid holidays, 403(b) Safe Harbor retirement plan with employer match, disability and life insurance, and more! We also offer $0.75/hour for those who test proficiently in a second language.

*This position is eligible for remote work following completion of required onsite training. Candidates must reside in Washington State to participate in training and attend occasional in-person meetings as needed.

Job Summary

The Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medicaid managed care and private insurances.

Knowledge, Skills and Abilities

• Reads, speaks, understands and writes proficiently in English.
• Effectively communicates orally and in writing.
• Represents the organization in a professional and effective manner to the community.
• Remains calm and effective in high pressure and emergency situations.
• Works with initiative, energy and effectiveness in a fast-paced environment.
• Produces work in high quantity and quality.
• Problem-solves with creativity and ingenuity.
• Knowledge of medical terminology.
• Knowledge of HIPAA regulations and compliance.
• Ability to make decisions regarding sensitive information.
• Comprehensive knowledge and understanding of medical coding.
• Proficiency in the use of Microsoft Office applications; Word, Excel and Outlook.

Preferred:

• Bilingual skills.

Education

• High School graduate or equivalent

Experience

• Working in healthcare as a production coder (2 years)

Preferred

• Familiarity with Federally Qualified Health Centers.
• Working in a not-for-profit organization.
• Working with low income, multi-ethnic populations.
• Working With Nextgen.

Credentials

• Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) or Coding Specialist (CCS) certified by the American Health Information Management Association (AHIMA).

Job Specific Functions/Performance:

1. Reviews and adjudicates coding of services from documentation in a timely manner.
2. Maintains physician/provider visit procedure codes and notes to identify appropriate ICD10 and CPT codes for charge processing.
3. Ensures that all diagnosis ICD10 codes, procedure CPT codes and HCPCS codes are identified, sequenced, and coded in an accurate and ethical manner for optimized reimbursement.
4. Assigns Evaluation and Management codes and key concepts/elements documented in the patient notes, utilizing defined coding guidelines applicable to professional and technical standards.
5. Researches and identifies correct codes for routine, and/or new or unusual diagnosis and procedures not clearly listed in ICD10 and CPT guidelines and functions of the position.
6. Identifies all procedures that may require modifiers (including 340B) for billing and reporting.
7. Consults with providers for clarification of clinical data when encountering conflicting or ambiguous information and/or significant missing documentation.
8. Tracks cases with insufficient documentation, ensuring the case is appropriately coded and billed.
9. Ensures documentation adheres to federal, state and county billing policies.
10. Adheres to attendance standards in order to perform the job functions for daily operations and/or continuity of patient care.

CHC is an Equal Employment Opportunity/Affirmative Action Employer (EEO/AA)/At-will employer.