Medical Coder

cedarpointhealth; United States; On-site; USD 60,000 - 76,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

AFLAC

Life insurance

401k

Paid time off

Job summary

Cedar Point Health is seeking a Medical Coder to report data completely and accurately in line with regulatory standards and applicable coding conventions, within the practices of CPH.

The coder will work closely with the Revenue Cycle Manager to monitor accounts receivable, perform charge entry, and support denials and appeals, while upholding HIPAA and confidentiality requirements.

Qualifications

• 3 years of billing/coding experience preferred.
• Strong analytical and organizational skills.
• Strong computer skills with emphasis on billing software and spreadsheets.
• Strong communication skills.
• Experience in a customer service role.
• Experience working collaboratively with teams.
• Basic understanding of a medical practice revenue cycle.
• Coachable, confident, persistent, and reliable.

Responsibilities

• The Medical Coder works closely with the Revenue Cycle Manager to monitor and maintain accounts receivable at all levels defined in the policy.
• The Medical Coder will perform charge entry with consideration of all healthcare data elements, ensuring validity of coding and charge additions or deletions, per CPH policies and procedures.
• Report accurate quality data to insurance companies and applicable organizations.
• Interacts with CPH staff, including physicians and support staff, coders and billing staff regarding any billing and documentation policies, procedures and conflicting/ambiguous or non-specific documentation of concern.
• Assist CPH team members with claim issues that include denials and appeals.
• Facilitate billing inquiries from patients.
• Maintain insurance and patient accounts receivable.
• Facilitate claim issues that include denials and appeals.
• Perform random medical record audits and reviews for provider cross checks.
• Produce reports related to Provider feedback.
• Produce reports related to coding performance for the Revenue Cycle Manager.
• Uphold medical documentation requirements for billing and coding guidelines.
• Maintain coding certification requirements.
• Maintain strict confidentiality, adhere to HIPAA guidelines and regulations.
• Other duties as assigned.

Skills

Analytical skills

Organizational skills

Computer skills

Communication skills

Customer service

Team collaboration

Revenue cycle understanding

Education

High School Diploma or equivalent

Tools

Billing software

Spreadsheets

Job description

Company

Cedar Point Health is growing and seeking a coder to join our team. The coder is responsible for reporting data completely and accurately in accordance with regulatory standards and requirements, utilizing applicable official coding conventions, rules, and compliance within the practices of CPH.

Compensation and Benefits

Cedar Point Health offers competitive pay and comprehensive benefits to full-time employees, including medical, dental, vision, AFLAC, employee life and accidental death insurance, 401k, and paid time off including sick time.

Responsibilities

The Medical Coder works closely with the Revenue Cycle Manager to monitor and maintain accounts receivable at all levels defined in the policy.

• The Medical Coder will perform charge entry with consideration of all healthcare data elements, ensuring validity of coding and charge additions or deletions, per CPH policies and procedures.
• Report accurate quality data to insurance companies and applicable organizations.
• Interacts with CPH staff, including physicians and support staff, coders and billing staff regarding any billing and documentation policies, procedures and conflicting/ambiguous or non-specific documentation of concern.
• Assist CPH team members with claim issues that include denials and appeals.
• Facilitate billing inquiries from patients.
• Maintain insurance and patient accounts receivable.
• Facilitate claim issues that include denials and appeals.
• Perform random medical record audits and reviews for provider cross checks.
• Produce reports related to Provider feedback.
• Produce reports related to coding performance for the Revenue Cycle Manager.
• Uphold medical documentation requirements for billing and coding guidelines.
• Maintain coding certification requirements.
• Maintain strict confidentiality, adhere to HIPAA guidelines and regulations.
• Other duties as assigned.

Requirements

• 3 years of previous billing/coding experience preferred.
• Strong analytical and organizational skills.
• Strong computer skills with emphasis placed on billing software and spreadsheets.
• Strong communication skills.
• Experience in a customer service role.
• Experience in working collaboratively with teams.
• Basic understanding of a medical practice revenue cycle.
• Coachable, confident, persistent, and reliable.

Education

High School Diploma or equivalent.

Experience

• Three years of experience in a medical office is preferred.
• Certified Coder through AHIMA or AAPC or obtain certification within 1 year.

Mental and Physical Requirements

Varied activities including standing, walking, reaching, bending, and lifting. Must be able to use a variety of office equipment. May require working under stressful conditions. Must be able to lift 20 pounds.

Conditions

Normal office setting that requires the ability to work under pressure and with a diverse population, including staff, physicians, clients, patients, insurance companies, labs, hospitals, and other members of the public on a regular basis.