Coding And Billing Specialist

Summary

Join firsthand's clinical documentation team as a part-time Coding & Billing Specialist! This flexible, 15-20 hour per week contracted position involves reviewing encounter coding, submitting claims, and educating team members on proper coding procedures. You'll leverage your 2+ years of medical billing and coding experience with an EHR system and knowledge of ICD-10-CM and CPT guidelines. Proficiency in medical terminology and excellent communication skills are essential. Full-time employees enjoy a comprehensive benefits package including health, dental, vision, 401k, parental leave, and flexible vacation. This is a chance to make a real impact supporting individuals with serious mental illness.

Requirements

• Have 2+ years experience as a medical billing and coding specialist leveraging an Electronic Health Record (EHR) system
• Are able to gain proficiency in firsthand EHR, Clearinghouse, and other billing software systems
• Have a strong knowledge of ICD-10-CM and CPT coding guidelines; medical terminology; state and federal Medicare reimbursement guidelines; English grammar and usage
• Are proficient in medical terminology: ability to read and interpret medical procedures and terminology
• Have excellent written and verbal communication skills, especially to maintain working relationships with firsthand APNs, NPs, Clinical Documentation Integrity Specialist, and other team members
• Have strong multi-tasking skills and consistent attention to detail
• Support firsthand’s mission, vision and values: Demonstrates respect, dignity, empathy, and professional conduct to both individuals that firsthand serves and firsthand team members
• A high School diploma or equivalent
• Medical coder certification, such as: Certified Professional Coder (CPC) from AAPC (American Academy of Professional Coders)Certified Coding Specialist (CCS) from AHIMA (American Health Information Management Association)

Responsibilities

• Appropriately codes services, procedures, diagnoses, and treatments
• Verifies that the assignment of International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedural Coding (HCPC) codes are compatible, appropriate, and accurate for billing
• Use medical terminology to understand clinical documentation and determine if it appropriately supports diagnoses
• Reviews all individual visit encounters for completeness and accuracy in all services rendered
• Educates firsthand Advance Practice Nurses (APNs), Nurse Practitioners (NPs), and other team members on proper code selection, documentation, procedures, and requirements
• Provides technical guidance to APNs, NPs, and other team members in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines
• Prepares and submits claims for payment, and corrects rejected claims

Preferred Qualifications

Certified Risk Adjustment Coder (CRC) certification from AAPC

Benefits

• Physical and mental health
• Dental
• Vision
• 401(k) with a match
• 16 weeks parental leave for either parent
• Flexible vacation
• A supportive and inclusive culture