Revenue Cycle Medical Coder

Terros Health; Phoenix (AZ); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

No-premium medical plan

Dental coverage

Vision insurance

Life & disability insurance

Pet insurance

401(k) plan with company match

Interest-free medical line of credit

Tuition discounts

Paid Time Off (3 weeks)

Paid Sick Time

10 holidays

Wellness program

Employee Assistance Program

Trip Reduction Program

Job summary

Terros Health is seeking a Revenue Cycle Medical Coder to support the RCM department with coding and billing review, best practices, and staff training. The role reports to the Director of Revenue Cycle and focuses on ensuring compliant coding and accurate billable services.

The position involves ongoing education of the claims team and practitioners, staying current with coding guidelines, and implementing strategic protocols for coding review and modifications across cross-functional teams.

Qualifications

Responsibilities

• Ensuring that procedural and diagnosis codes are assigned correctly and sequenced appropriately per government and insurance regulations
• Reviewing claims and configuration to ensure compliance with coding guidelines and best practices
• Reviewing patient charts, claims, and policies as needed to verify, correct and ensure accuracy of billable services
• Training and support to claims team members and practitioners related to appropriate billing procedures and coding requirements
• Recommending and implementing strategic protocols for coding review and code modifications
• Completing overarching coding practice evaluations
• Collaborating with cross functional teams such as Compliance and Contracting
• Stay up to date on coding requirements and best practices, including attending external training and meetings to proactively develop and implement forward thinking best practices

Job description

Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person's health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes.

The Revenue Cycle Medical Coder position is responsible for supporting the Revenue Cycle Management (RCM) Department with claims coding and billing review, best practices, coding recommendations and policy setting, and staff training and education. This position reports to the Director, Revenue Cycle.

HOPE ~ HEALTH ~ HEALING

• Ensuring that procedural and diagnosis codes are assigned correctly and sequenced appropriately per government and insurance regulations
• Reviewing claims and configuration to ensure compliance with coding guidelines and best practices
• Reviewing patient charts, claims, and policies as needed to verify, correct and ensure accuracy of billable services
• Training and support to claims team members and practitioners related to appropriate billing procedures and coding requirements
• Recommending and implementing strategic protocols for coding review and code modifications
• Completing overarching coding practice evaluations
• Collaborating with cross functional teams such as Compliance and Contracting
• Stay up to date on coding requirements and best practices, including attending external training and meetings to proactively develop and implement forward thinking best practices

Benefits & Wellness

We invest in the health, well-being, and success of our employees and their families by offering comprehensive benefits, wellness resources, and opportunities to grow both personally and professionally

• Multiple medical plan options, including a no-premium plan for employees and their families
• Multiple dental plan options, including orthodontic coverage
• Vision insurance
• Group life and disability insurance
• Pet insurance
• 401(k) plan with company match
• Interest-free medical line of credit
• Financial education, planning, and support resources
• Monetary company contribution toward eligible benefits
• Bilingual pay differential
• Generous Paid Time Off (PTO) - 3 weeks off in the first year
• Paid Sick Time
• 10 paid holidays annually
• Comprehensive wellness program featuring wellness challenges, activities, and prizes
• Employee Assistance Program (EAP) available to employees and their family members
• Trip Reduction Program

• Ongoing professional growth and career development opportunities, including:
• Scholarships
• Clinical supervision
• Continuing Education Units (CEUs)
• Tuition discounts through Grand Canyon University, University of Phoenix, and Northern Arizona University (NAU)

• Access to the Working Advantage Employee Discount Program, with savings on:
• Gym memberships
• Car rentals
• Flights, hotels, movie tickets, and more