Certified Medical Coder at Advance Community Health

Raleigh, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Jun, 26

Salary

0.0

Posted On

06 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

ICD10-CM Coding, CPT Coding, HCPCS Coding, Medical Record Review, Diagnosis Specificity, Procedure Coding, Reimbursement Optimization, Data Abstraction, Anatomy, Physiology, Medical Terminology, Coding Guidelines Application, Auditing, Training and Education, Consultation

Industry

Medical Practices

Description

Company Overview Advance Community Health is a Federally Qualified Healthcare Center in North Carolina serving Wake & Franklin Counties for 53 years delivering quality, compassionate primary health care - every patient, every time - in response to the needs of our communities. We are a model of affordable health care and a trusted partner, building healthy communities, one patient at a time. Why Join Advance Community Health Life in the Triangle, with the Atlantic Ocean only two hours to the east and the Blue Ridge Mountains 3.5 hours to the west, living and working in the Triangle area gives you the best life has to offer. Advance Community Health (ACH) proudly offers employment opportunities in multiple locations throughout the Triangle, including Raleigh, Apex, Cary, and Fuquay-Varina! Our Raleigh office, conveniently located less than 6 minutes from the heart of Downtown Raleigh, gives you easy access to some of the best food and entertainment the Triangle has to offer! No matter who you are, the Triangle offers everything you need to live a happy, fulfilling life! Benefits Offered * Company paid Medical premiums for Employee and two dependents. * Dental, and Vision insurance * 17.5 PTO days accrued + Paid holidays * 401(k) plan company match * All employees receive their Birthday Off Position Summary The Certified Medical Coder, is accountable for accurately reviewing, assigning, and validatingof billing codes for providers, ancillary staff, and assist with the training and education. Code medical records utilizing ICD10-CM and CPT coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for professional charges. Abstract information from medical records following established methods and procedures. Essential Duties & Responsibilities * Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary/secondary diagnoses and procedures using utilizing ICD10-CM and CPT coding conventions- ICD10, CPT AND HCPCS coding (add HCPCS anywhere you have ICD 10/CPT). * Sequence the diagnoses and procedures using coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. * Ensure coding accuracy for services provided across multiple specialties including primary care, women’s health, pediatrics, behavioral health, and dental services where applicable. * Ensure quality and quantity of work performed through regular audits. * Assist with research, development and presentation of continuing education programs on areas of specialization. * Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding. * Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD10-CM and CPT coding guidelines to outpatient diagnoses and procedures. Education & Qualifications * Minimum of High school Diploma or GED. * Certified Professional Coder, CPC * 2-4 years medical coding experience * Advanced ICD10-CM & CPT coding conventions * Anatomy and Physiology * Medical Terminology * Coding software familiarity Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Tasks, duties, and responsibilities, as listed in this position description, are not exhaustive. The Organization, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills and/or education will also be considered, so qualifications of incumbents may differ from those listed in the Position Description. Monday - Friday 8AM - 5PM 8 hours per day excluding breaks

Responsibilities

The Certified Medical Coder is responsible for accurately reviewing, assigning, and validating billing codes for providers and ancillary staff using ICD10-CM and CPT coding conventions, ensuring specificity of diagnoses and procedures for optimal reimbursement. This role also involves abstracting data, ensuring coding accuracy across multiple specialties, and assisting with training and education for staff on coding practices.