Medical Coding Specialist - Certified (On-Site)

Certified Medical Coding Specialist

The Certified Medical Coding Specialist is responsible for correctly coding healthcare claims to obtain reimbursement from insurance companies and government health care programs. This position is an in-person position in the Monfort Family Clinic in Evans, Colorado.

Position Summary:

With a Quality, Customer First, and Compassionate approach, The Medical Coding Specialist will:

• Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
• Assign codes for diagnosis, treatments, and procedures according to the appropriate classification system.
• Review claims data to ensure assigned codes meet required legal and insurance rules and that required authorizations are in place prior to submission.
• Evaluate and re-file appeals for patient claims that were denied.
• Ensure correct patient allocation is set.
• Void any duplicate charges or charges entered in error.
• Identify and report error patterns.
• Notify coding supervisors of missing orders or needed documentation clarification.
• Ensure timely and efficient billing of all electronic claim's submission.
• Accurately enter payment and adjustments in the A/R system.
• Collect health information as documented by medical providers and code them appropriately.
• Consult medical providers for further clarification and understanding of items on patient charts to avoid any misinterpretations.
• Provide accurate account information to patients about their A/R accounts and make any necessary corrections.
• Comply with HIPAA, federal regulations, and Sunrise Community Health policies.

Minimum Qualifications:

• High School Diploma.
• Associate (AA) Degree and/or Certificate in Medical Coding.
• Certified Professional Coder (CPC); preferred coding certification from AHIMA or AAPC.
• 2 years' experience as a medical coder and/or training; or equivalent combination of education and experience.

Perks and Benefits:

At Sunrise, we pride ourselves in over 50 years of exceptional support to our community and employees. Sunrise is dedicated to guiding every employee towards professional growth and development by supporting them through training and tuition reimbursement. We value a healthy work life balance by providing generous paid time off. Employee opinions are valued, and we listen to employees through employee engagement surveys and the sharing of diverse ideas!

Sunrise Community Health offers a generous range of benefits based on working 30/hrs. or more per week.

Generous PTO and Leave Times:

• Up to 8 weeks of Paid Time Off (Vacation, Personal, 12 Observed Holidays, and Sick Leave)

Health, Medical, and Wellness Benefits:

• Medical Insurance
• Dental & Vision Insurance
• Basic Life & AD&D Insurance
• Voluntary Life Insurance
• Long-Term Disability (LTD)
• FSA Medical Flexible Spending Account
• FSA Dependent Care Spending Account
• Employee Assistance Program

Financial Benefits:

• Competitive 401K Plan
• Loan Forgiveness Programs*
• Employee Referral Bonus Program

Professional Development:

• Tuition and Training Reimbursement
• Agency Wide Training
• Master Class Educational Tool

Get Involved:

• Employee Recognition Programs

Current immunizations are required to work at Sunrise Community Health and may vary dependent upon the position. Influenza (Flu) is required for ALL staff. COVID vaccine is highly encouraged.

Sunrise Community Health is an Equal Opportunity Employer. We value a diverse, inclusive workforce that enriches our culture and our mission to provide affordable access to quality healthcare for all. Qualified applicants for employment will be considered without regard to an individual's race, color, sex, gender identity, gender expression, religion, age, national origin or ancestry, citizenship, physical or mental disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military or veteran status, or any other basis protected by federal, state, or local laws. Accommodations are available for applicants with disabilities.