Certified Coder - Corporate Office

About the role

Coding medical documentation for insurance claims.

Location: Central Billing - Corporate Office, 200 Gold Circle, Suite 120, Dakota Dunes, SD 57049. Classification: Non-Exempt Full-Time. Reports to: Central Billing Manager.

Responsibilities

• Assign codes to procedures and diagnoses using CPT, HCPCS, and ICD codes.
• Knowledge of HCC coding.
• Ensure codes are current, assigned accurately and sequenced correctly in each instance, in accordance with government and insurance regulations, with a high level of accuracy.
• Keep up to date on various payer guidelines and new coding changes or opportunities.
• Follow-up with the provider on any documentation that is insufficient or unclear.
• Communicate with other clinical staff regarding documentation when needed.
• Search for information where the coding is complex or unusual.
• Conduct chart audits to ensure all documentation is accurate, precise, and complete, providing feedback/education to providers when necessary.
• Monitor and reconcile outstanding voucher report for missed charges.
• Allocate payments in the system and complete processes as directed.
• Prepare quarterly coding graphs.
• Collaborate with billing department to ensure all claims are satisfied in a timely manner.
• Performs related work as required.

Skills

• Problem Solving/Analysis
• Time Management
• Communication Proficiency
• Teamwork Orientation

Qualifications

• High School graduation or GED.
• Strong knowledge of anatomy, physiology and medical terminology.
• Commitment to a high level of customer service.
• Solid oral and written communication skills.
• Excellent typing and 10-key speed and accuracy.
• Able to work independently but embrace teamwork and flexibility.
• Minimum two year medical coding experience (preferred).
• Motivated, detail oriented and outstanding people skills (preferred).
• Certified Professional Coder (CPC) certification.