Certified Coder - 34th Street CHC

Job Description

Job Description

Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient.

As we grow our team, we are looking for individuals who believe the patient is always #1.

Why work for us?

• Competitive pay which matches your abilities and experience
• Health coverage for you and your family
• Generous number of vacation days per year
• A robust wellness plan and health club discounts
• Continuing education assistance to grow and further your talents
• 403(B) plan with company matching

Intrigued? We’d love to hear from you! Please review the job details below and then click “apply.”

We're looking for someone to join our team as a Certified Coder who:

Under the direction of the Revenue Cycle Director, the Certified Coder is responsible for all phases of billing/account follow-up using accepted billing and coding practices to ensure thorough and consistent account resolution to promote financial health of Clinica Sierra Vista.

Essential Billing Functions

• Providing efficient and effective account receivable services to maximize reimbursement.
• Accurately billing Medicare, Medi-Cal, self-pay/sliding fee, and commercial insurance claims in accordance with payer requirements and CSV Billing Policies and Procedures
• Posting patient and electronic and paper insurance remits
• Correcting claim and charge errors
• Thoroughly researching and resolving credit balances
• Answering phone calls from patients who are calling regarding their bill
• Assisting with the collection of receivables by monitoring accounts receivables, checking claim status and resubmitting claims of overdue accounts, filing corrected claims or appeals and alerting one’s supervisor of seriously overdue accounts

Essential Coding Functions

• Abstracts all necessary information to assign ICD-10-CM, CPT, and HCPCS codes which most accurately describe each documented diagnosis and procedure according to established government and private healthcare guidelines.
• Assures the final diagnoses and all other procedures as stated by the physician/provider are valid and complete.
• Evaluates the medical record for documentation consistency and adequacy. Ensures that the final diagnosis and procedures accurately reflects the care and treatment rendered.
• Reviews the medical record for coding compliance in accordance with Medi-Cal and Center for Medicare Services (CMS) regulations.
• Analyze provider documentation to assure the appropriate Evaluation and Management (E&M) levels are assigned using the correct CPT code.

Additional Responsibilities

• • Establishing and maintaining positive working relationships with patients, payers, team members, clients and other stakeholders
  • Maintain confidentiality of patient information in compliance with HIPAA regulations
  • Performing other specific projects related to billing, data entry, and computer operations as required
  • Reasonable and predictable in person attendance.
  • Other duties as assigned.

Qualifications

• High School graduate or equivalent.
• Must be 18 years of age.
• Minimum of two years experience in billing in the medical/dental field to include CPT and ICD10 Coding.
• Medical coding from AAPC (CPC Certificate) or AHIMA (CCS Certificate, and Current certification from ADCA (CDC certificate).
• Knowledge of Epic practice management system preferred.
• Previous FQHC/RHC experience preferred.
• Ability to post and make arithmetical computations accurately.

Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us.

Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!