Certified Professional Coder
Delta Health Center, Inc.is seeking a full-time, detail-oriented, and experienced Certified Professional Coder to join our team.
This role is critical in supporting our physicians and clinical staff to ensure accurate documentation and coding, contributing to the highest quality of patient care.
Position Responsibilities:
• Analyze medical record documentation to ensure accurate assignment of ICD10-CM, CPT, and HCPCS codes, adhering to established coding guidelines and ethical standards.
• Consult with clinical providers for coding and documentation clarification as needed.
• Conduct prospective and retrospective reviews of clinical documentation and coding.
• Provide individual and group feedback to clinical providers, medical staff, and other team members based on coding reviews and identified trends, in alignment with the compliance plan.
• Collaborate with clinical operations and compliance staff to develop and implement corrective action plans for provider documentation issues.
• Develop and revise education and training materials related to documentation and coding.
• Respond to coding questions from providers and staff promptly and accurately.
• Monitor and track coding and coding compliance activities, maintaining detailed records.
• Collaborate with the clinical operations team to address special requests for coding reviews related to patient complaints, denials, rejections, or incorrect coding, and provide feedback to the relevant parties.
• Conduct ongoing reviews and tracking of insurance rejections and denials with coding discrepancies, contacting insurance companies as necessary to resolve issues.
Required Skills & Qualifications:
• Proficiency in medical coding, including ICD-10-CM, CPT, and HCPCS coding systems.
• Knowledge and experience in patient eligibility, payer class, insurance type and subscriber requirements for appropriate claim validation and billing submissions required
• Strong analytical skills and attention to detail.
• Excellent communication and interpersonal skills for interacting with providers, staff, and insurance representatives.
• Ability to manage multiple tasks and prioritize effectively.
• Experience with electronic medical records (EMR) systems preferred.
• Familiarity with insurance guidelines and compliance standards.
Education & Experience:
• Certification as an AAPC Certified Professional Coder (CPC or CPC-A) Required
• FQHC Coding and Billing Knowledge Preferred but not required
• High school diploma or GED required; Bachelor’s Degree and/or advanced education or relevant coursework preferred.
• Minimum of 1 year of experience in medical coding
Additional Requirements:
• Must pass a standard background check.
Job Type: Full-time
Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off (vacation and sick leave)
• Vision insurance
Schedule:
• Monday (8:00 a.m.-6:00 p.m.) and Friday (8:00 a.m.-12:00 p.m.)
License/Certification:
• Certified Professional Coder License (Required)
Work Location: In person/On-site (Required)
...DESCRIPTION Amazon internships are full-time positions, and interns should expect to work Monday-Friday, up to 40 hours per week typically... ...employment during the Amazon work day. Our Primetime/Adult Animation team oversees all creative aspects of original animated...
...Spalding, a Saalex Company is seeking a UI/UX Designer in Patuxent River, MD . Spalding, a Saalex Company is a professional services company delivering cutting-edge solutions to the Department of Defense since 2001. Our expert-level solutions include software development...
...Job Description Unarmed Security Officer (Burlington Rd Greensboro) Greensboro, NC, United States of America $ 18.01 - $ 18.01... ...hour Job type ~ Full-time/ Part-time ~ Must be available weekends. ~6:00PM-6:00AM (Saturday-Sunday) Your Background ~ PPSB...
...Design, develop, and maintain scalable and robust ETL/ELT processes and data pipelines using various tools and technologies. Build and optimize data warehouses, data lakes, and other data storage solutions to support analytical and operational needs. Implement...
...ll help reimagine how technology unlocks learning, growth, and opportunity for every employee. Were seeking a passionate Business Systems Analyst, Compensation and Reporting to partner with our cross-functional team and shape the next generation of tools, including compensation...