About this role
Community Health Center of Snohomish County offers competitive wages and a comprehensive benefits package designed to address health, time off, retirement and career-advancement needs. Benefits available include health insurance (medical/dental/vision), up to 120 hours of vacation time pro-rated by FTE every 12 months, paid sick leave, 10-paid holidays, 403(b) Safe Harbor retirement plan with employer match, disability and life insurance, and more! We also offer $0.75/hour for those who test proficiently in a second language.
*This position is eligible for remote work following completion of required onsite training. Candidates must reside in Washington State to participate in training and attend occasional in-person meetings as needed.
Job Summary
The Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medicaid managed care and private insurances.
Knowledge, Skills and Abilities
• Reads, speaks, understands and writes proficiently in English.
• Effectively communicates orally and in writing.
• Represents the organization in a professional and effective manner to the community.
• Remains calm and effective in high pressure and emergency situations.
• Works with initiative, energy and effectiveness in a fast-paced environment.
• Produces work in high quantity and quality.
• Problem-solves with creativity and ingenuity.
• Knowledge of medical terminology.
• Knowledge of HIPAA regulations and compliance.
• Ability to make decisions regarding sensitive information.
• Comprehensive knowledge and understanding of medical coding.
• Proficiency in the use of Microsoft Office applications; Word, Excel and Outlook.
Preferred:
• Bilingual skills.
Education
• High School graduate or equivalent
Experience
• Working in healthcare as a production coder (2 years)
Preferred
• Familiarity with Federally Qualified Health Centers.
• Working in a not-for-profit organization.
• Working with low income, multi-ethnic populations.
• Working With Nextgen.
Credentials
• Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) or Coding Specialist (CCS) certified by the American Health Information Management Association (AHIMA).
Job Specific Functions/Performance:
• Reviews and adjudicates coding of services from documentation in a timely manner.
• Maintains physician/provider visit procedure codes and notes to identify appropriate ICD10 and CPT codes for charge processing.
• Ensures that all diagnosis ICD10 codes, procedure CPT codes and HCPCS codes are identified, sequenced, and coded in an accurate and ethical manner for optimized reimbursement.
• Assigns Evaluation and Management codes and key concepts/elements documented in the patient notes, utilizing defined coding guidelines applicable to professional and technical standards.
• Researches and identifies correct codes for routine, and/or new or unusual diagnosis and procedures not clearly listed in ICD10 and CPT guidelines and functions of the position.
• Identifies all procedures that may require modifiers (including 340B) for billing and reporting.
• Consults with providers for clarification of clinical data when encountering conflicting or ambiguous information and/or significant missing documentation.
• Tracks cases with insufficient documentation, ensuring the case is appropriately coded and billed.
• Ensures documentation adheres to federal, state and county billing policies.
• Adheres to attendance standards in order to perform the job functions for daily operations and/or continuity of patient care.
CHC is an Equal Employment Opportunity/Affirmative Action Employer (EEO/AA)/At-will employer.