Revenue Cycle Coder

General Purpose

Responsible for understanding the billing requirements for all payors and programs

Essential Duties and Responsibilities

• Responsible for understanding the billing requirements for all payers
• Enters and approves data into the Management Information system according to appropriate guidelines to ensure that the STRIDE accounts receivable is accurate.
• Analyzes provider documentation to assure the appropriate Evaluation & Management coding levels are assigned the correct CPT or CDT code
• Provides expertise to the billing staff in addressing appeals for denials for incorrect diagnoses for services performed.
• Completes audits of provider encounters to ensure compliance and maximize reimbursement.
• Serves as coding reviewer to support the charge posting process.
• Execute daily workload within full compliance of state and federal billing regulations.
• Accept charges, review, analyze, and code diagnostic and procedural information that determines Medicaid, Medicare, CHP+, and private insurance payments.
• The position will require review of ICD-9-CM, ICD-10-CM, CPT, CDT and HCPCS coding for procedures performed by providers.
• CDT and HCPCS coding for procedures performed by providers.
• Conducts periodic Quality Assurance Processes for Revenue Cycle Coders to ensure accuracy and policy compliance
• Summarize and reports on the trends of provider documentation
• Provides initial and ongoing training to provide staff regarding coding compliance.
• Develop training materials for ongoing use by provider staff, and Patient Accounts staff
• Perform other duties as assigned

STRIDE Values

• Community: All are welcome at STRIDE - our patients are the center of our work.
• Trust: Our patients feel safe, empowered, and supported.
• Value: We respond to patients' needs by providing effective, affordable care.
• Compassion: We treat patients with kindness, empathy, and dignity.

Education and Experience

• Required: High School Diploma or GED.
• Required: CPC-A, RHIA ,RHIT, CCA and/or CCS certification
• CPC and/or CRC preferred.

Skills and Expertise

• Ability to interact positively and build rapport with patients, coworkers and/or external contacts
• Ability to work independently and organize work in a manner that ensures accuracy and efficiency
• Knowledge of medical electronic billing procedures and coding
• Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the full range of STRIDEs diverse patient population
• Customer service skills, including the ability to diffuse upset patients
• Basic math skills required; Basic excel spreadsheet skills and a basic understanding of accounting helpful
• Skill in using a variety of computer software including but not limited to the internet and MS Office products
• Ability to handle sensitive information ethically and responsibly
• Ability to protect the confidentiality of patient, employee and business information
• Bilingual Spanish is preferred
• Must be experienced in working in a fast-paced environment and be able to multi-task and prioritize

Required Tools of the Job

• Epic EHR Revenue Cycle applications specific to Ambulatory clinic medical billing
• Additional applications include Centricity EHR (legacy), Faxcom, Citrix Xenapps, Citrix Director
• Microsoft suite and various audio/video platforms
• Internal and external IT ticketing systems

Working Environment and Physical Activities

• Office environment within a clinical setting
• Enters data into computer programs via computer, mouse, and keyboard
• Moves about the office environment and occasionally to other locations
• Moves/transports objects up to 25 lbs. occasionally
• Communicate information to others
• Discerns/analyzes information from others to assist in decision making

Work Schedule

Monday - Friday, 8:30 AM - 5:00 PM

STRIDE Values

• Community: All are welcome at STRIDE - our patients are the center of our work.
• Trust: Our patients feel safe, empowered, and supported.
• Value: We respond to patients' needs by providing effective, affordable care.
• Compassion: We treat patients with kindness, empathy, and dignity.

Education and Experience

• Required: High School Diploma or GED.
• Required: CPC-A, RHIA ,RHIT, CCA and/or CCS certification
• CPC and/or CRC preferred.

Skills and Expertise

• Ability to interact positively and build rapport with patients, coworkers and/or external contacts
• Ability to work independently and organize work in a manner that ensures accuracy and efficiency
• Knowledge of medical electronic billing procedures and coding
• Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the full range of STRIDEs diverse patient population
• Customer service skills, including the ability to diffuse upset patients
• Basic math skills required; Basic excel spreadsheet skills and a basic understanding of accounting helpful
• Skill in using a variety of computer software including but not limited to the internet and MS Office products
• Ability to handle sensitive information ethically and responsibly
• Ability to protect the confidentiality of patient, employee and business information
• Bilingual Spanish is preferred
• Must be experienced in working in a fast-paced environment and be able to multi-task and prioritize

Required Tools of the Job

• Epic EHR Revenue Cycle applications specific to Ambulatory clinic medical billing
• Additional applications include Centricity EHR (legacy), Faxcom, Citrix Xenapps, Citrix Director
• Microsoft suite and various audio/video platforms
• Internal and external IT ticketing systems

Working Environment and Physical Activities

• Office environment within a clinical setting
• Enters data into computer programs via computer, mouse, and keyboard
• Moves about the office environment and occasionally to other locations
• Moves/transports objects up to 25 lbs. occasionally
• Communicate information to others
• Discerns/analyzes information from others to assist in decision making

Work Schedule

Monday - Friday, 8:30 AM - 5:00 PM

STRIDE Values

• Community: All are welcome at STRIDE - our patients are the center of our work.
• Trust: Our patients feel safe, empowered, and supported.
• Value: We respond to patients' needs by providing effective, affordable care.
• Compassion: We treat patients with kindness, empathy, and dignity.

Education and Experience

• Required: High School Diploma or GED.
• Required: CPC-A, RHIA ,RHIT, CCA and/or CCS certification
• CPC and/or CRC preferred.

Skills and Expertise

• Ability to interact positively and build rapport with patients, coworkers and/or external contacts
• Ability to work independently and organize work in a manner that ensures accuracy and efficiency
• Knowledge of medical electronic billing procedures and coding
• Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the full range of STRIDEs diverse patient population
• Customer service skills, including the ability to diffuse upset patients
• Basic math skills required; Basic excel spreadsheet skills and a basic understanding of accounting helpful
• Skill in using a variety of computer software including but not limited to the internet and MS Office products
• Ability to handle sensitive information ethically and responsibly
• Ability to protect the confidentiality of patient, employee and business information
• Bilingual Spanish is preferred
• Must be experienced in working in a fast-paced environment and be able to multi-task and prioritize

Required Tools of the Job

• Epic EHR Revenue Cycle applications specific to Ambulatory clinic medical billing
• Additional applications include Centricity EHR (legacy), Faxcom, Citrix Xenapps, Citrix Director
• Microsoft suite and various audio/video platforms
• Internal and external IT ticketing systems

Working Environment and Physical Activities

• Office environment within a clinical setting
• Enters data into computer programs via computer, mouse, and keyboard
• Moves about the office environment and occasionally to other locations
• Moves/transports objects up to 25 lbs. occasionally
• Communicate information to others
• Discerns/analyzes information from others to assist in decision making

Work Schedule

Monday - Friday, 8:30 AM - 5:00 PM

STRIDE Values

• Community: All are welcome at STRIDE - our patients are the center of our work.
• Trust: Our patients feel safe, empowered, and supported.
• Value: We respond to patients' needs by providing effective, affordable care.
• Compassion: We treat patients with kindness, empathy, and dignity.

Education and Experience

• Required: High School Diploma or GED.
• Required: CPC-A, RHIA ,RHIT, CCA and/or CCS certification
• CPC and/or CRC preferred.

Skills and Expertise

• Ability to interact positively and build rapport with patients, coworkers and/or external contacts
• Ability to work independently and organize work in a manner that ensures accuracy and efficiency
• Knowledge of medical electronic billing procedures and coding
• Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the full range of STRIDEs diverse patient population
• Customer service skills, including the ability to diffuse upset patients
• Basic math skills required; Basic excel spreadsheet skills and a basic understanding of accounting helpful
• Skill in using a variety of computer software including but not limited to the internet and MS Office products
• Ability to handle sensitive information ethically and responsibly
• Ability to protect the confidentiality of patient, employee and business information
• Bilingual Spanish is preferred
• Must be experienced in working in a fast-paced environment and be able to multi-task and prioritize

Required Tools of the Job

• Epic EHR Revenue Cycle applications specific to Ambulatory clinic medical billing
• Additional applications include Centricity EHR (legacy), Faxcom, Citrix Xenapps, Citrix Director
• Microsoft suite