HIM Medical Records Certified Medical Coder - FT

About the Role

The Medical Coder ensures compliance with all legal requirements regarding coding procedures and practices. This role involves conducting audits, assigning codes for services rendered, collaborating with the business office for timely billing, and communicating with insurance companies and healthcare professionals to resolve coding issues.

Responsibilities

• Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
• Review claims data to ensure compliance with legal and insurance rules, including verifying signatures and authorizations.
• Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve denied claims.
• Adhere to coding policies and procedures consistent with CPT, ICD-9, and ICD-10 guidelines.
• Answer coding questions and review clinical documentation to ensure accuracy.
• Perform related duties as requested.
• Uphold organizational ethics and customer service standards.

Requirements

Education and/or Licensure:

• High School degree required.
• Certificate or associate's degree in medical coding/CPC preferred.
• Additional certifications (CPC, CPC-Hospital, CPC-Payer, CIRCC, CPMA) are a plus but not required.

Experience:

• Minimum of one (1) year of coding experience required, preferably with psychiatric services.

Additional Requirements:

• Must possess or obtain valid CPR certification and complete facility-approved verbal de-escalation and physical crisis management training within 30 days of hire.
• Bi-lingual English/Spanish preferred but not required.

Qualifications

• Knowledge of medical terminology, ICD-9-CM coding, anatomy, physiology, and medical law.
• Familiarity with CMS rules, HCPCS, CPT coding, and healthcare reimbursement methods.
• Critical thinking skills to resolve complex coding issues.
• Proficiency in mathematical computations and data entry.
• Advanced PC skills, including Windows, Microsoft Office, and financial software (Kronos a plus).
• Strong communication and interpersonal skills.
• Ability to prioritize tasks, manage time effectively, and work in a fast-paced environment.

Physical Requirements

• Ability to stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, and grasp.
• Ability to perceive attributes of objects through touch and hear with no less than 40 db loss at specific frequencies.
• Perform repetitive motions with wrists, hands, and fingers.
• Exert up to 100 pounds of force occasionally and move objects.
• Work in an environment with potential distractions and temperature changes.

Benefits

• Medical, dental, and vision insurance.
• Company-paid disability.
• 401(k) plan.
• Generous paid time off.