Medical Coder, CPC, CCS-P

Job Description: • Assign ICD-10-CM and CPT/HCPCS codes with modifiers for services provided in the facility (Professional fee coding) • Review all applicable documentation of various providers to determine the appropriate codes to assign for all medical services, procedures, and diagnoses from available documentation within electronic medical records • Ensures diagnosis codes meet local and national medical necessity guidelines • Be knowledgeable of billing and coding requirements for governmental and private insurance payers • Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all assigned services • Demonstrates the technical competence to use the facility encoder and EMR in an office or remote setting • Review and resolves coding edits and denials • Assists with rebilling accounts when necessary • Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding • Follow all HIPAA regulations and uphold a higher standard around privacy requirements • Completes all assigned work in a timely manner based on internal and/or payer standards • Must meet all coder productivity and quality goals; Maintain a 95% accuracy rate • Attending and reporting at weekly team calls with Director of Medical Coding Compliance • Reporting coding patterns identified within the coding process to management • Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials • Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes • May interact with providers and/or center administrators from time to time regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation Requirements: • Certified Professional Coder (CPC®) or CCS-P • High School diploma, GED or equivalent • Minimum of 2 years of coding experience with an emphasis in Evaluation and Management coding • Experience in coding healthcare provider documentation to identify correct ICD-10-CM, CPT, and/or HCPCS codes preferred • An excellent understanding of Mental Health / Opioid Addiction medical terminology preferred • An excellent understanding of ICD-10-CM coding classification and CPT/HCPCS coding • Computer literate adept skill level on MS Office applications • Experience in Mental Health or Addiction Medicine a plus Benefits: • Medical, Dental, and Vision Insurance • PTO • Variety of 401K options including a match program with no vesture period • Annual Continuing Education Allowance (in related field) • Life Insurance • Short/Long Term Disability • Paid maternity/paternity leave • Mental Health Day • Calm subscription for all employees