DescriptionBase Pay: $22.00 - $32.50 / hour JOB SUMMARYCertified coder with strong analytical skills to review charges and ensure accurate and appropriate billing to all payers including preferred experience with managed care plans. Knowledge of Medicare & Medi-Cal guidelines, including use of CCI, NCD, LCD edits and familiar with Medi-Cal modifiers & eTAR requirements. Experience in electronic claims submission, electronic health records, posting payments, working A/R including completion of CIF's & appeals. Works closely with the Billing Manager and the Director of Electronic Data Interchange as a team to maintain all aspects of the revenue cycle.
JOB DUTIES AND RESPONSIBILITIES- Accurate and review of appropriate billing of all charges based on CPT/ICD-10-CM and payer guidelines, especially Partnership HealthPlan.
- Use of EHR to verify correct coding and medical necessity.
- With assistance from training staff, provide training to medical front office staff of departmental and billing procedures
- Assist billing staff with follow up of denied claims
- Knowledge of coding and clinic operations as it pertains to Federally Qualified Health Centers
- High Skill level in Microsoft Office Suite Programs
- Utilize NextGen EPM/EMR to verify information and confirm complete documentation.
- Requests adjustments to accounts based on organizational guidelines
- Daily feedback reports to Center Manager's and Billing Manager
- Complete assigned tasks and assist with coding and error resolution
- Assist with telephone inquiries and provides information requested
- Assist with patient complaints preparing information for Senior Management review
- Participates in educational activities
- Maintains strictest confidentiality
- Communicates routinely with satellites & other departments on billing issues and changes.
KNOWLEDGE, SKILLS, AND ABILITIES- Ability to work without direct supervision.
- Ability to take directions and meet deadlines in a timely manner
- Knowledge of medical terminology and clinic systems
- High skill level for Microsoft office programs with expertise in excel.
- Knowledge of medical billing, accounting procedures and applications.
- Knowledge of claims review, analysis and quality assurance.
- Knowledge of commercial insurance and government reimbursement programs.
- Possess good verbal and written communication skills.
- Multi-task oriented with attention to detail.
EDUCATION & EXPERIENCE- Obtain Certified Coder (CPC, CCS-P) credential from AAPC within 6 months of hire
- CGT/SGT certification preferred
- Expert level experience using MS Windows operating System preferred
- Two to four years related experience
- Coding champion and help train employees ICD-10 Coding
BENEFITSSCHC understands the importance of good health for every employee. We offer a comprehensive benefits package to ensure employees and their families receive the optimal in health care coverage, along with options to meet their needs.
- Competitive wages
- Medical insurance
- Dental insurance
- Vision insurance
- 403(b) retirement plan with matching employer contribution
- Long-term disability coverage
- Life insurance
- Accidental death and dismemberment insurance
- Supplemental Insurances
- Flexible spending account
- Paid vacation
- Paid sick
- Paid holidays
- Paid CME time and CME allowance
- Employee assistance program
- Jury duty pay
- Bereavement pay
- Prescription discount program
- 529 college savings plan
- Educational reimbursement program
- Gym membership discounts
- Free telemedicine service for benefit eligible employees
Shasta Community Health Center is an Equal Opportunity Employer.