Job Description

Job Description

Job Description

Description:

Job Summary:

Charter Oak Health Center is seeking a Medical Coder to join our team. In this role, you will be responsible for reviewing and verifying outpatient clinical documentation and diagnostic results. Extracts relevant data and assigns alphanumeric codes for billing, as well as for internal and external statistical reporting, research, regulatory compliance, and reimbursement purposes. The ideal candidate will have a strong background in in healthcare administration, with particular emphasis on medical coding. Knowledge of medical terminology, anatomy, and healthcare compliance is essential for effectively carrying out the roles and responsibilities. Familiarity with coding software is also critical. This position offers an exciting opportunity to make a difference in the community while advancing your career in healthcare.

Key Responsibilities:

• Advises billing and finance staff as well as Providers regarding changes to CPT-4 codes and ICD-10 codes, and any procedure changes from Medicare, Medicaid, and private insurance carriers.
• Comprehensive understanding of anatomy, along with diagnostic and procedural terminology, to accurately determine the correct assignment of diagnosis and procedure codes.
• Analyzes medical records, interprets documentation, and assigns the appropriate International Classification of Diseases, Tenth Edition Clinical Modification (ICD-10-CM), Current Procedural Terminology /HealthCare Common Procedure Coding System (CPT/HCPCS), modifiers, and Evaluation & Management codes using specialized software.
• Utilize the ICD-10-CM coding system for accurate diagnosis coding. This requires thorough knowledge of coding conventions and the ability to select the most appropriate codes based on the patient's medical history and presenting conditions.
• Proficiently apply the Current Procedural Terminology (CPT) coding system to document services rendered. This includes both evaluation and management (E/M) services and other diagnostic or therapeutic procedures.
• Adheres to all departmental coding and charging procedures, policies, guidelines, and quality standards.
• Completes daily cases that have been assigned, utilizing the appropriate work queue.
• Communicate with the third-party billing team (EMR vendor) to identify issues and solve billing problems.
• Knowledge of Federally Qualified Health Center (FQHC) coding.

Professional Experience/Educational Requirements

• Associate's degree or equivalent experience.
• Four years+ of medical billing experience, and strong knowledge of business processes, accounting theory, and methods

Certification/Licensure

• CPC Certification

Charter Oak Health Center Offers Outstanding Benefits That Include:

• Health Insurance: Comprehensive medical, dental, and vision coverage
• Generous Paid Time Off (PTO): PTO, Personal, and eight paid holidays
• Retirement Plans: 403 B plan with company vesting
• HRSA and Public Service Loan Forgiveness

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