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Day Behavioral Health Coding Jobs in Pennsylvania

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Day Behavioral Health Coding information

What is a day behavioral health coder?

A Day Behavioral Health Coder is a medical coding professional who specializes in assigning standardized codes to diagnoses and procedures related to behavioral health services provided during the day, such as in partial hospitalization programs or intensive outpatient settings. Their primary role is to ensure that all documentation for mental health and substance use treatment services is accurately coded for billing and insurance purposes. This helps healthcare providers receive proper reimbursement and maintain compliance with regulations. Day Behavioral Health Coders need to be familiar with coding systems like ICD-10, CPT, and HCPCS, and must have a keen understanding of behavioral health terminology and treatment modalities.

What are the key skills and qualifications needed to thrive as a day behavioral health coder?

To thrive as a Day Behavioral Health Coder, you need a solid understanding of behavioral health diagnoses, medical terminology, and coding standards like ICD-10-CM and CPT, often supported by a certification such as CPC, CCA, or CCS. Familiarity with electronic health record (EHR) systems and coding software is vital for accurate documentation and claim submission. Attention to detail, analytical thinking, and effective communication are essential soft skills for resolving discrepancies and collaborating with clinical staff. These skills ensure precise coding, compliance with regulations, and optimal reimbursement for behavioral health services.

What are some common challenges day behavioral health coders face when ensuring accurate coding and compliance?

Day Behavioral Health Coders often encounter challenges such as interpreting complex mental health documentation, keeping up with frequent updates to coding regulations, and ensuring codes accurately reflect both the services provided and the patient's diagnosis. Collaboration with clinicians is essential to clarify ambiguous notes and reduce the risk of errors that could affect billing or compliance. Additionally, coders must manage a high volume of records efficiently while maintaining accuracy to support timely reimbursement and uphold regulatory standards.

What are the most commonly searched types of Behavioral Health Coding jobs in Pennsylvania?

The most popular types of Behavioral Health Coding jobs in Pennsylvania are:

What cities in Pennsylvania are hiring for Day Behavioral Health Coding jobs?

Cities in Pennsylvania with the most Day Behavioral Health Coding job openings:

Day Behavioral Health Coding jobs near you

Certified Coding Specialist - MYCS

Mckeesport, PA • On-site

Mon Yough Community Services, Inc.
51 - 200 employees
Learn more about Mon Yough Community Services, Inc.external

Full-time

Re-posted 6 days ago

Job description

Company Description
Since 1969, MYCS has helped individuals and families in the Mon Valley area to Get Better based on the specific and unique circumstances of each person we serve. We work to foster hope, renewal, healing and wellness for those who face the challenges of mental health, substance abuse disorders and intellectual disabilities. The goal to Get Better means getting better service, better advice, better treatment and a better experience overall. The people of MYCS strive for excellence in their quest for knowledge, compassion and support for the recovery of every individual.
Job Description
SPECIFIC RESPONSIBILITIES:
  • Review and evaluate focused UPMC Community Behavioral Health medical records for accurate coding to ensure that all documented principal and secondary diagnoses, complications and co-morbidities, and procedures are accurately coded.
  • Perform internal quality assurance audits on community behavioral health records.
  • Summarizes findings and report these to the Manager.
  • Identify areas of coding weakness and develop training plans to address these.
  • Provide audit findings to compliance staff members to review.
  • Discuss audit findings with each coder individually as needed for further
    clarification.
  • Develop and present community behavioral health coding seminars for continuing coder
    education.
  • Assist with identifying continuing education needs and opportunities. Coordinate
    continuing education by contacting clinical staff and arranging in-services for
    the coding staff, as well as keeping current with other education being offered
    by AHIMA and other professional organizations.
  • Assist with training new staff for community behavioral health coding.
  • Also coordinate re-training of staff as needed due to coding changes/updates,
    results of audits, etc.
  • Communicate effectively with Patient Business Services, physicians and ancillary
    departments as necessary to submit accurate and timely billing. .
  • Review the discharge summary, history and physical, physician progress notes,
    consultation reports, to validate accurate diagnosis and appropriate level of
    care coding.
  • Determine diagnoses that were treated, monitored and evaluated and procedures done during
    the episode of care and assign appropriate codes.
  • Utilize standard coding guidelines and principles and coding clinics to assign the
    appropriate ICD-10 and CPT codes including modifiers for correct assignment and
    accurate reimbursement.
  • Identify incomplete documentation in the medical record and formulate a physician query
    to obtain missing documentation and/ or clarification to accurately complete
    the coding process.
  • Responsible for correcting any data found to be in error after reviewing the medical record
    and comparing with system entries.

PROFESSIONAL KNOWLEDGE, SKILLS, AND EXPERTISE:
  • Complete work assignments in a timely manner
  • Submit a monthly auditing/training schedule to the Manager.
  • Submit completed Inpatient, SDS, and ED audit spreadsheets with details for each chart.
  • Submit audit summaries for Inpatient, SDS and ED coding
  • Submit all educational documents for all patient types to Management.
  • Perform reviews on Third Party Audit findings/outcomes and prepare report for HIM and
    Compliance

Qualifications
REQUIRED MINIMUM QUALIFICATIONS:
Graduate of an AHIMA-certified Coding Program. Associates Degree from an accredited
Health Information Management program or equivalent preferred. Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-10-CM and CPT Coding Guidelines and Procedures or
Certified Coding Specialist(CCS).5 years of total experience.
Certified Professional Coder
OR Certified Coding Specialist OR Regulatory Health Information Technician OR
Regulatory Health Information Administration.
Additional Information
APPLY ONLINE AT: www.mycs.org

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