Billing and Coding Specialist

Summary

Join Herself Health as a Billing and Coding Specialist and contribute to our mission of providing exceptional primary care for women 65+. This remote, full-time Associate-level position reports to the Director of Revenue Cycle Management. You will be responsible for accurate and timely coding of medical encounters, provider education, and quality monitoring. The ideal candidate possesses strong medical coding skills, knowledge of national guidelines, and the ability to work collaboratively with clinical staff. While Minnesota-based candidates are preferred, we welcome applications from those legally authorized to work in the US. Compensation starts at $40,000, based on experience.

Requirements

• Be proficient in reading and interpreting medical records to assign accurate medical codes for diagnoses, procedures, and evaluation and management services according to national coding guidelines
• Maintain knowledge of anatomy, physiology, and medical terminology to ensure that diagnoses and services are properly coded
• Be legally authorized to work in the United States

Responsibilities

• Code encounters signed by the provider
• Provide education for the physicians
• Oversee the timely and accurate coding review of all provider types
• Identify any new and improved service lines when monitoring the quality of our providers
• Review all notes for accuracy and completeness daily
• Obtain missing information from providers and clinical staff members
• Identify all chargeable items within each progress note and ensure proper CPT/CPT II/HCPCS codes for each item
• Accurately assign modifiers
• Review patient claims for demographic and coding accuracy and completeness; obtain and enter any missing demographic information
• Prioritize tasks so that the most important tasks are completed first
• Ensure that all charges are entered, and edits are handled prior to month end
• Work with AR team to monitor denials specific to coding deficiencies, develop and implement methods to decrease denials that directly impact reimbursement for services rendered
• Assist in researching coding and billing issues, and analysis of data for reports
• Know, monitor, and maintain current knowledge of changes in laws and regulations that affect medical records (health information) management
• Conduct baseline, monthly and quarterly coding reviews of physicians, and conduct the education of good documentation practices; and of coding medical services that are appropriate and accurate, maintaining compliance with CMS guidelines and Federal Rules Regulations
• Act as a knowledge resource for clinical staff as well as other team members
• Attend team meetings, phone conferences, and training as needed

Preferred Qualifications

• Highly effective verbal, written and interpersonal communication skills to communicate effectively with all levels of staff and patients
• 2-4 years of physician coding experience, primary care preferred
• Coding certification through AHIMA and/or AAPC
• Auditing experience
• High level proficiency in Microsoft Excel, PowerPoint, and Word
• Ability to interact with providers and provide training and feedback