Medical Coder - REMOTE - FULL TIME - 40 HOURS - (ADMIN)
PO Box 30
GT BARRINGTON, MA 01230
Fax:(413)528-2863
Website: communityhealthprograms.org/
Company Description:
Community Health Programs is a network of health centers and caring professionals that provide outstanding primary and preventive care for patients of all ages. What’s truly unique to CHP is our broad spectrum of support services that extend beyond medical and dental issues to strengthen families and improve children’s well-being. The region is a federally designated rural community and a Medically Underserved Population Area.
Community Health Programs embraces its role as a nonprofit health care provider and community partner. We are a leader in the communities we serve by providing high quality healthcare, dental services, wellness education and family support services. CHP outreach provides free health screenings, insurance enrollment assistance as well as information so people can learn how to take better care of themselves and their families.
Additional Business Name: CHP Administrative Offices
Data Analysist
Insurance
Required
Preferred
The Medical Coder (MC) is responsible for assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases Tenth Revision Clinical Modification (ICD-10 CM). They will make decisions on which codes and functions should be assigned in each instance depending on documentation and insurance requirements. This includes but not limited to diagnostic and procedural information, significant reportable elements and significant reportable elements and other complex classifications. Specialties include primary care, pediatric, mental health, and OB/GYN. This person will support CHP’s mission, vision, and values and will adhere to compliance protocols as well as CHP’s policies and procedures.
Medical Corder Essential Duties and Responsibilities:
- Account for coding and abstracting of patient encounters, provider messaging, and hospital records.
- Making sure that codes are assigned correctly.
- Complying with medical coding guidelines and policies.
- Receiving and reviewing patients’ charts and documents for verification and accuracy.
- Research and analyze data needs for reimbursement.
- Make sure that codes are sequenced according to government and insurance regulations.
- Analyze medical records and identify documentation deficiencies.
- Serve as a resource and subject matter expert to billing staff and providers.
- Review and verify documentation for diagnoses, procedures, and treatment results.
- Identify diagnostic and procedural information.
- Document high risk coding for local ACO.
- Meet weekly coding quotas.
- Attend regular training on coding updates.
Competencies: To perform the job successfully, an individual should demonstrate the following competencies:
- Proficient computer skills.
- Excellent communication skills, both verbal and written.
- Outstanding organizational skills.
- Ability to maintain the confidentiality of information.
- Responds to requests for service and assistance.
- Meets commitments and is punctual.
- Completes administrative tasks correctly and on time.
- Contributes to building a positive team spirit.
- Responds well to questions.
- Takes careful and accurate notes.
- Follows up on messages and ensures delivery of messages.
Essential Skills and Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Proven work experience as a Medical Coder or similar role.
- Coding Certification from an accredited association- AAPC, AHIMA etc.
- 2+ years of work experience as a Medical Coder.
- 2+ years working in medical billing.
- Work with EHR software proficiently (Athena and Meditech).
- Federally Qualified Health Center experience a plus.
