Job Description
STRIDE Community Health Center is committed to making a lasting impact on the lives of patients and the communities it serves. The Revenue Cycle Coder is responsible for understanding billing requirements for all payers, ensuring accuracy in accounts receivable, and providing expertise in coding compliance and training.
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
Skills
- High School Diploma or GED
- CPC-A, RHIA, RHIT, CCA and/or CCS certification
- CPC and/or CRC
- Bilingual Spanish
Benefits
- Medical, dental, and vision coverage
- Paid time off (PTO) and holidays
- Health Savings Account (HSA) and Flexible Spending Account (FSA), including dependent care options
- 401(k) with matching
- Work-life balance
- NHSC Loan Repayment
- Tuition reimbursement and/or Continuing Medical Education (CME)
- No nights, weekends, or major holidays
- Employee Assistance Program (EAP)
- Employee Discounts on top attractions, hotels, more
Company Overview
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