Job Summary

Medical coders are critical to health informatics. They are responsible for reviewing patient records

and assigning standardized codes for accurate records and insurance reimbursement. Medical coders

are commonly responsible for recognizing the provider’s diagnosis and knowing the associated code;

understanding the details of the services provided; and having familiarity with insurance company rules

and regulations.

Day-to-day responsibilities will consist of reviewing and accurately coding office procedures for

reimbursement and timely claim submissions; being thoroughly familiar with insurance companies,

Medicare, and Medicaid; and showing compassion and being naturally helpful with patients, clients,

and the team.

Essential Job Functions

· Balance and audit encounters (ex. with check-in and end-of-day reports) to confirm proper

submission of services prior to billing on pre-determined charges.

· Receive and review patient charts and accurately record.

· Ensure all codes are current and active.

· Perform accurate charge entries.

· Report missing or incomplete documentation - Work with providers to fix documentation errors.

· Meet daily charge posting production.

· Post patient phone payments.

· Run insurance credit card payments.

· Create superbills for procedures done in-house and for example, nursing home charges.

· Work with patients (and/or legal guardians) to establish payment plans.

· At the request, discuss with patients their questions about payments, balances, or statements.

· Run daily reports to identify, preliminary superbills and queue superbill status to “Ready to

Submit” for submitting claims.

· Provide management with feedback and status.

· Attend weekly call meetings to address billing issues.

· Attend training or professional development as requested.

· Notify billing, finance, or management of any standard process deviations.

· Follow coding guidelines and legal requirements to ensure compliance with federal and state

regulations.

· Serve as a resource regarding insurance resolutions and coding questions.

· Perform other duties as assigned.

Minimum Required Education, Experience & Skills

· High school degree or equivalent medical coding certification. Certified Professional Coding Certificate is required.

· At least 2 (two) years of medical coding experience preferred.

· Understanding and current knowledge of medical codes, terminology, anatomy, and physiology.

· Ability to work independently and/or as an active member of a team. · Strong computer skills in Microsoft Office, data entry, coding, and electronic medical records software.

· Possess accurate and precise attention to detail. · Ability to multitask, prioritize, and manage time efficiently.

· Excellent verbal and written communication skills. · Self-motivated, goal-oriented, and team player.

· Bilingual (English/Spanish) preferred.

ENVIRONMENTAL AND WORKING CONDITIONS In this position, the employee will work in an office setting that requires sitting, walking, talking, and listening.

May travel at the request of management for professional development, company events, or meetings.