Community Health Center of Snohomish County offers competitive wages and a comprehensive benefits package designed to address health, time off, retirement and career-advancement needs.
Benefits available include health insurance (medical/dental/vision), up to 120 hours of vacation time pro-rated by FTE every 12 months, paid sick leave, 10-paid holidays, 403(b) Safe Harbor retirement plan with employer match, disability and life insurance, and more!
We also offer $0.75/hour for those who test proficiently in a second language.
This position is eligible for remote work following completion of required onsite training.
Candidates must reside in Washington State to participate in training and attend occasional in-person meetings as needed.
Job Summary
The Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medicaid managed care and private insurances.
Knowledge, Skills and Abilities
- Reads, speaks, understands and writes proficiently in English.
- Effectively communicates orally and in writing.
- Represents the organization in a professional and effective manner to the community.
- Remains calm and effective in high pressure and emergency situations.
- Works with initiative, energy and effectiveness in a fast-paced environment.
- Produces work in high quantity and quality.
- Problem-solves with creativity and ingenuity.
- Knowledge of medical terminology.
- Knowledge of HIPAA regulations and compliance.
- Ability to make decisions regarding sensitive information.
- Comprehensive knowledge and understanding of medical coding.
- Proficiency in the use of Microsoft Office applications; Word, Excel and Outlook.
- Preferred: Bilingual skills.
Education
- High School graduate or equivalent
Experience
- Working in healthcare as a production coder (2 years)
- Preferred Familiarity with Federally Qualified Health Centers.
- Working in a not-for-profit organization.
- Working with low income, multi-ethnic populations.
- Working With Nextgen.
Credentials
- Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) or Coding Specialist (CCS) certified by the American Health Information Management Association (AHIMA).
Job Specific Functions/Performance:
- Reviews and adjudicates coding of services from documentation in a timely manner.
- Maintains physician/provider visit procedure codes and notes to identify appropriate ICD10 and CPT codes for charge processing.
- Ensures that all diagnosis ICD10 codes, procedure CPT codes and HCPCS codes are identified, sequenced, and coded in an accurate and ethical manner for optimized reimbursement.
- Assigns Evaluation and Management codes and key concepts/elements documented in the patient notes, utilizing defined coding guidelines applicable to professional and technical standards.
- Researches and identifies correct codes for routine, and/or new or unusual diagnosis and procedures not clearly listed in ICD10 and CPT guidelines and functions of the position.
- Identifies all procedures that may require modifiers (including 340B) for billing and reporting.
- Consults with providers for clarification of clinical data when encountering conflicting or ambiguous information and/or significant missing documentation.
- Tracks cases with insufficient documentation, ensuring the case is appropriately coded and billed.
- Ensures documentation adheres to federal, state and county billing policies.
- Adheres to attendance standards in order to perform the job functions for daily operations and/or continuity of patient care.
CHC is an Equal Employment Opportunity/Affirmative Action Employer (EEO/AA)/At-will employer.