Lead Coder

About the role

OnPoint Medical Group is searching for an outstanding Lead Coder to join our team. This is a full-time position, and after the training period, the role may be remote for candidates who reside in Colorado.

Summary

Certified Professional Coder requirements include translating a patient's medical record into the appropriate CPT, HCPCS and ICD10 Codes to be submitted on a claim to insurance carriers, following local, state, and federal medical billing laws and guidelines.

Essential duties and responsibilities

Coding

• Working directly with healthcare providers and staff to ensure the medical documentation supports the CPT and Diagnosis codes that are being billed out to payers following payer specific guidelines
• Perform pre-visit planning in Navina as instructed
• Run day-end report for practice managers 2x per week, copying executive directors and coding manager
• Post visit review and claim submission
• Working directly with the healthcare providers to ensure correct coding initiatives are met
• Other coding duties as assigned

Productivity

• Submitting a minimum of 80 - 100 claims per day out of preassigned clinics
• Dropping claims within 3 days of note completion

Policies

• Work within guidance of Billing Compliance Plan
• Work within Federal, State and Local Billing Guidelines
• Attend scheduled coding meetings
• Maintain coding certification including timely submission of continuing education to AAPC or AHIMA
• Maintain and follow strict privacy, confidentiality, and safety protocols. Comply with all government regulations around HIPAA, OSHA, and PCI DSS

Other Administrative Duties

• Claim submission policies
• Maintain a clean and organized work environment
• Deliver faxes to billing department staff member when appropriate
• Other administrative duties

Lead CPC additional job duties

• Assist others with coding questions in regards to ICD 10, CPT codes
• Assist others with documentation requirements
• Develop training materials for internal and external customers
• Assist coding manager with other coding duties as assigned

Qualifications

Minimum Education/Experience

• High School Diploma or High School Equivalency
• Strong computer skills required
• 5 years healthcare experience
• 2+ years coding experience
• CPC or AHIMA Certification

Preferred Education/Experience

• Some college – medical, business, accounting focus
• Bilingual
• EMR experience preferred – Athenahealth practice management system

Working conditions

While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. Occasionally required to walk; sit; and stoop, kneel, crouch, or crawl. Frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 25 pounds. Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.

Benefits

• Health insurance plan options for you and your dependents
• Dental and Vision for you and your qualified dependents
• Company Paid life insurance
• Voluntary options for short-term disability and long-term disability coverage
• AFLAC Plans
• FSA options
• Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
• Paid Time-Off earned

Pay

Salary: $31 - $34 / hour. The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.