Compensation: $20.40 - $25.50 per hour (based on years of experience)
Summary:
The Certified Senior Coder reviews providerservice records to ensure accurate coding for all services to maximizereimbursement and meet coding requirements from insurance carriers andregulatory agencies (Medicare and Medicaid). Additionally, acts as a resource to providers for coding issues.
Principal Responsibilities:
1. Will participate and maintain a culture withinThe Corvallis Clinic that is consistent with the content outlined in theService and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, andembrace the principles contained within.
2. Codes services correctly; understands andappropriately uses all CPT, ICD-10 and modifiers. Understands and follows allbundling edits.
3. Ensures that documentation supports chargesbilled, e.g. E/M auditing, procedures, DOS, use of modifiers, and ICD-10.
4. Process and input billings accurately in thepractice management system; CPT codes, modifiers, units, fees, ICD-10 codes,using tools available to confirm codes, units and fees will be correctly billed,e.g., checking batch with the charge report. Works claim holds in an accurateand timely supporting our business office policies.
5. Provides feedback, research and answers codingquestions from providers, insurance specialists, patient account representativesand denial tasks concerning reason for denial, patient issues and maximumreimbursement.
6. Quickly locates Medicare billing rules andpolicies, fully comprehends how these relate, apply and follows coding whenbilling Medicare patients. Coding and billing per insurance listed, bills per standardprocesses, utilizes identified insurance guidelines and billing accordingly.Updating new guidelines as identified and adding to the H drive.
7. Improve the quality of care through continuingeducation and self-evaluation of the effectiveness of care. This includesattendance/participation in most in-services/department meetings and remainingcurrent on department policies and procedures.
8. Participate in orientation and training of newemployees.
Education/Licensure/Experience:
1. Highschool diploma or equivalent required.
2. Certification of advanced coding course ordemonstrated equal coding experience, required.
3. Two (2) or more years of experience workingwith medical billing and medical terminology, required.
Knowledge andSkills:

• Extensive knowledge of insurance line is required
• Intermediate to advanced computer skillsincluding; MS Word and Excel
• Ability to communicate and work well withproviders and other staff
• Ability to work on multiple tasks simultaneouslyin a busy, fast-paced environment while maintaining quality of work

Perks and Benefits:

• Work-life balance is a top priority at TheCorvallis Clinic
• 7 holidays 2 floating holidays = 9 Paid Holidays! Early release on ChristmasEve and New Year's Eve
• Generous Personal Leave Accrual
• Benefits: Medical w/ HSA or HRA, Dental,Flexible Spending Acct (FSA)
• Employer contribution to HSA and HRA (whenenrolled in Medical Plan)
• Employer paid Long Term Disability (LTD), BasicLife/AD&D, Employee Assistance Program (EAP)
• Voluntary Benefits (Vision, Life Insurance andAD&D, Pet Insurance, Aflac, Legal Shield)
• Retirement - 401k eligible and auto enrolled after90 days, 100% vested from day 1, with discretionary clinic match after 1 year(w/hours requirement) and discretionary Profit Share after 2 years (w/hoursrequirement)
• Pay on Demand (up to 2x per month)
• Casual Fridays (with clinic approved attire)
• Year-round employee engagement events andfestivities
• Team centered culture, delivering exceptionalmedical care with compassion and a commitment to service