Lead Coder

Job Description

Job Description

OnPoint Medical Group is searching for an outstanding Lead Coder to join our team! This is a full-time position, and after the training period, the role may be remote for candidates who reside in Colorado. Come join a great group of medical professionals as our network continues to grow!

OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible.

Our "Circle of Care" has one primary goal – to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands.

SUMMARY

Certified Professional Coder requirements include translating a patient’s medical record into the appropriate CPT, HCPCS and ICD10 Codes to be submitted on a claim to insurance carriers, following local, state, and federal medical billing laws and guidelines.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The following statements are illustrative of the essential duties of the job and do not include other non-essential or peripheral duties that may be required. We retain the right to modify or change the essential and additional functions of the job at any time.

1. Coding
   • Working directly healthcare providers, and staff to ensure the medical documentation supports the CPT and Diagnosis codes that are being billed out to payers following payer specific guidelines
   • Perform pre-visit planning in Navina as instructed
   • Run day-end report for practice managers 2x per week copy executive directors and coding manager
   • Post visit review and claim submission
   • Working directly with the healthcare providers to ensure correct coding initiatives are met
   • Other coding duties as assigned
2. Productivity
   • Submitting a minimum of 80 - 100 claims per day out of preassigned clinics
   • Dropping claims within 3 days of note completion
3. Policies
   • Work within guidance of Billing Compliance Plan
   • Work within Federal, State and Local Billing Guidelines
   • Attend scheduled coding meetings
   • Maintain coding certification including timely submission of continuing education to AAPC or AHIMA
4. Maintain and follow strict privacy, confidentiality, and safety protocols. Comply with all government regulations around the following:
   • HIPAA
   • OSHA
   • PCI DSS
5. Other Administrative Duties
   • Claim submission policies
   • Maintain a clean and organized work environment
   • Deliver faxes to billing department staff member when appropriate
6. Other administrative duties

***Lead CPC additional job duties***

• Assist others with coding questions in regards to ICD 10, CPT codes
• Assist others with documentation requirements
• Develop training materials for internal and external customers
• Assist coding manager with other coding duties as assigned

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 for this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Education/Experience

• High School Diploma or High School Equivalency
• Strong computer skills required
• 5 years healthcare experience
• 2+ years coding experience
• CPC or AHIMA Certification

Preferred Education/Experience

• Some college – medical, business, accounting focus
• Bilingual
• EMR experience preferred – Athenahealth practice management system

SUPERVISORY RESPONSIBILITIES

This position does not have any supervisory responsibilities

JOB ELEMENTS/WORKING CONDITIONS

• While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.
• Occasionally required to walk; sit; and stoop, kneel, crouch, or crawl.
• Frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.

WORK ENVIRONMENT

The above statements describe the general nature and level of work performed by people assigned to this classification. They are not an exhaustive list of all responsibilities, duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

This position will be posted for a minimum of 5 days and may be extended.

BENEFITS OFFERED

• Health insurance plan options for you and your dependents
• Dental, and Vision, for you and your qualified dependents
• Company Paid life insurance
• Voluntary options for short-term disability, and long-term disability coverage
• AFLAC Plans
• FSA options
• Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
• Paid Time-Off earned

Salary: $31 - $34 / hour

This position will be posted for a minimum of 5 days and may be extended.

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.

OnPoint Medical Group is an EEO Employer.

Applicants can redact age information from requested transcripts.