Coding Specialist Certified

Job Description

Job Description

Coding Specialist-Certified

• Salary Range : $26 - $36.40/hour based on relevant years of experience- (Certified coding Specialists)  
  • Coding Specialist (non-certified) $24 - $33.60/hour based on experience
• Location: Larimer county, Colorado
• Status:  40 hours per week
• Hours: Monday - Friday

The salary range for this position is SummitStone’s good faith belief and reasonable estimate of the range of possible compensation for this position at the time of the posting. SummitStone may ultimately offer more or less than the posted range. The compensation offered to the successful applicant may vary based on factors including the applicant’s education, training, skills, experiences, and other job-related information and how relevant those are to SummitStone’s needs, aspirations, organizational priorities, and the evolving needs and delivery of services to the community that it serves.  

Role Overview:

Responsible for reviewing client records, abstracting relevant clinical information, and confirming appropriate behavioral health and medical codes for accurate billing and reimbursement under supervision and established guidelines. This position serves as quality control support for clinical staff and is intended for coders who are newly certified or actively progressing toward full professional credentialing. 

Essential Duties: 

• Review and verify documentation for diagnosis, procedures, and treatment results have been assigned accurate codes based on current ICD-10, CPT and HCPCS coding guidelines.
• Review codes for additional billing requirements such as modifiers, number of units or place of service to ensure compliance and accurate billing.
• Ensure that codes are sequenced appropriately in accordance with federal, state and payer-specific requirements.
• Review and verify coding follows behavioral health or medical coding guidelines and policies as appropriate.
• Communicate with staff to clarify ambiguous documentation or coding concerns.
• Receive, research, and respond to provider/clinician and management inquiries about the coding of clinical services.
• Utilizes the State Behavioral Health Services Billing Manual as a resource for behavioral health coding and keeps up to date on changes to coding regulations.
• Perform other duties as assigned.

Minimum Qualifications:

• High school diploma or completion of G.E.D. required· 
• At least one year of demonstrated experience in a healthcare revenue cycle, billing, or coding related role required.
• Experience utilizing an EMR required

Licenses and Certifications:

• Certification from AAPC or AHIMA required (CPC/CPC-A, CCA, CCS / CCS‑P, CRC) within one year of hire 
• Employees who hold apprentice or entry-level credentials remain classified at Level I until certification requirements and, where applicable, external credential validation standards are met. 

Preferred Qualifications:

• Experience in EPIC preferred
• Experience in the behavioral health field preferred 
• Bilingual/bi-cultural preferred

SummitStone will take into consideration a combination of an applicant’s education, training, skills, experiences, and other job-related information and how relevant those are to SummitStone’s needs, aspirations, organizational priorities, and the evolving needs and delivery of services to the community that it serves. The position posting describes the minimum and preferred qualifications for position and, beyond those, the candidate is responsible for making a compelling case in support of their application.

At SummitStone Health Partners, we strive to foster trust, empower recovery, and inspire hope to strengthen and enrich our Northern Colorado community. 

We need your help to make this vision a reality.   

We are committed to fostering a diverse and inclusive environment where everyone can be their authentic self. We actively seek team members with a variety of backgrounds, identities, and experiences, and we honor the whole self—embracing differences in race, ethnicity, ability, age, gender, sexual orientation, spiritual beliefs, socioeconomic status, language, and the many intersections of identity. We invite everyone to be part of our journey and proudly serve as an equal opportunity employer.

Please visit summitstone.org for more information about who we are. 

Total Rewards

At SummitStone Health Partners, we are proud to offer a comprehensive and competitive benefits package designed to support the well-being of our team members. Eligibility and pro-rated benefit levels are based on FTE (full-time equivalent) status.

Below are some of the benefits we offer:

• Medical, dental, and vision coverage — including options for eligible dependents
• Mental health and wellness resources
• Short-term and long-term disability insurances
• Paid time off (PTO): Accrued vacation and personal leave based on FTE status and length of service
• Paid Sick Leave: Provided in accordance with the Colorado Healthy Families and Workplaces Act (HFWA)
• A range of voluntary benefits available to all employees
• 403(b) retirement plan with employer matching contributions

Reach Out

SummitStone will provide persons with disabilities with reasonable accommodations. If reasonable accommodation is needed to participate in the job application or selection process, please let your recruiter know.

Questions?  Please email us at View email address on ziprecruiter.com.  

This position will be open for a minimum of three days and/or until a top candidate is identified.