Revenue Cycle Medical Coder (9016)

Terros Health; Longview Place (IL); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health benefits

Dental and vision plans

401(k) with company match

Paid Time Off

Job summary

Terros Health in Phoenix, AZ seeks a Revenue Cycle Medical Coder to support the Revenue Cycle Management Department with coding and billing review, best practices, and policy setting. The role reports to the Director of Revenue Cycle.

The ideal candidate has 5+ years of coding and billing experience, CPC/CCS/RHIT certification, knowledge of NextGen or similar EHR, and strong Excel skills. This is an in-office, day-shift position with comprehensive benefits.

Qualifications

• High School diploma or equivalent. Bachelor’s degree preferred.
• Certification in medical coding and billing, CPC, CCS, RHIT required
• 5+ years’ experience in a coding and billing position
• Demonstrated knowledge of NextGen or similar EHR
• Intermediate knowledge of Microsoft Excel
• Experience interacting with cross functional partners, external payers and stakeholders
• Strong communication skills – written and verbal
• This role is a non-driving position at one location with no travel

Responsibilities

• Ensuring procedural and diagnosis codes are assigned correctly and sequenced per regulations
• Reviewing claims and configuration to ensure coding guidelines and best practices
• Reviewing patient charts, claims, and policies to verify billable services
• Training and support to claims team members and practitioners on billing procedures and coding requirements
• Recommending and implementing coding review protocols and code modifications
• Completing overarching coding practice evaluations
• Collaborating with Compliance and Contracting teams
• Staying up to date on coding requirements and best practices

Skills

Medical coding

Billing review

Cross-functional collaboration

Communication skills

Education

High School diploma or equivalent

Bachelor’s degree preferred

Medical coding certification (CPC/CCS/RHIT)

Tools

NextGen or similar EHR

Microsoft Excel

Job description

Job Details

Job Location: Central Avenue - Phoenix, AZ 85012

Position Type: Full Time

Education Level: High School Diploma/GED

Travel Percentage: In-Office

Job Shift: Day Shift

Job Category: Accounting/Finance

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

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

Benefits & Wellness

• 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

Qualifications

• High School diploma or equivalent. Bachelor’s degree preferred.
• Certification in medical coding and billing, CPC, CCS, RHIT required
• 5+ years’ experience in a coding and billing position
• Demonstrated knowledge of NextGen or similar HER
• Intermediate knowledge of Microsoft suite, especially excel
• Experience interacting with cross functional partners, and external payers and stakeholders
• Strong communication skills – written and verbal. Excellent collaboration and partnership skills
• This role is a non-driving position. This position is performed at one location and does not require travel to various Terros Health centers.
• May be 18 years of age and with less than two years’ driving experience or no driving experience.
• Must pass background check, TB test and other pre-employment screening

Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions