Medical coder

This position performs patient billing processes, to include, but not limited to, billing and third-party payer filings, review of superbill or electronic equivalent, review and reconciliation of invoices for patient related ancillary services, etc.

Minimum Qualifications:

Education

High School Diploma or Equivalent. Certification through American Health Information Management Association or its equivalent is preferred.

Experience

Two years experience in medical coding in a healthcare setting required. Demonstrated experience with electronic health records and practice management systems. Medical coding in a community health center setting preferred. Cultural competence in working with diverse populations.

Essential Functions:

• Report to work as scheduled, on time and prepared to start working. Remain at work for their entire work schedule.
• Enters patient fees and codes into practice management system.
• Runs and verifies Daily Close/End of Day reports.
• Processes patient third party billings.
• Verifies insurance eligibility, submits claims, follows up on denials and delinquent insurance accounts. Resubmits claims as necessary.
• Maintains patient accounts and billing files and scans billing documents into practice management system as appropriate.
• Assists with investigating, processing and resubmitting patient third party explanation of benefit statements.
• Determines and processes patient fee adjustments.
• Responds to questions concerning patient accounts.
• Monitors patient account receivables and identifies and refers delinquent accounts.
• Completes training requirements to become a Certified Application Counselor and identifies uninsured patients and assists with insurance enrollment.
• Remains current with standards of health care billing and coding practices.
• Complies with center’s policies and procedures.
• Operates specialized office equipment.
• Participates in continuous quality improvement activities.
• Other duties as assigned.

Knowledge, Skills and Abilities

• General accounting skills.
• Knowledge of CPT and ICD-10 codes and use of automated information management system software.
• Technically proficient computer skills.
• Thorough knowledge of common office equipment (copier, fax, printer, etc.).
• Excellent oral and written communication skills.
• Ability to organize and prioritize tasks.
• Ability to work under pressure and meet deadlines.
• Strong analytical, attention to detail and problem-solving skills.
• Ability to work independently and as a team member.