Coding Specialist - Certified Professional

Responsibilities: Evaluate health record documentation and charges to support accurate reimbursement for the services provided.
Assist providers in assigning accurate Internal Classification of Diseases (ICD-10) and Current Procedural Terminology (CPT) codes and modifiers to patient encounters based on provider documentation.
Monitor coding workload and escalates delays, issues or missing documentation to the Billing Manager for appropriate resolution.
Provide coding education and physician documentation education based on review findings and trends.
Review, audit, and post charges electronically daily.
Adhere to quality and productivity standards to ensure coding compliance.
Regularly communicate with billing staff to reduce claim rejections and denials.
Submit completed encounters to the Patient Account Representative’s inbox to complete the billing.
Attend meetings with providers and support staff as requested.
Keep abreast of coding guidelines, NCCI guidelines, Medical Necessity, and NCD and LCDs.
Appropriate/Professional work attire is required.
Must attend all mandatory department trainings.
Displays a responsive and professional manner in promptly responding to all requests, complaints, and problems.
Recognizes that each employee is a representative of the Fond du Lac Band of Lake Superior Chippewa and is responsible for demonstrating courtesy, respect, and sensitivity to the needs of all others, including visitors and co-workers.
Represents the Fond du Lac Band of Lake Superior Chippewa and the department in a positive and professional manner in the community.
Required to maintain proper attendance including reporting to work on time in accordance with applicable policies.
Maintains a clean and organized work area.

• Due to changes and modifications in the job from time to time, employees are required to be flexible and assume other responsibilities assigned by management as deemed necessary.

Qualifications: High school diploma or G.E.D. is required.
Coding Certification through AHIMA or AAPC is required.
One-year coding physician services is required.
Knowledge of ICD-10, Health Care Common Procedure Coding System (HCPCS) and CPT codes is required.
Knowledge of computer applications to include word processing, data bases and/or data entry, Spreadsheets, and Microsoft Outlook is required.
Knowledge of Native American communities, culture, customs, and beliefs is preferred.
Experience working with Native Americans clients, communities and is able to demonstrate cultural sensitivity is preferred.
Ability to communicate effectively orally and in writing is required.
Ability to work independently and establish priorities is required.
Attention to detail and accuracy is required.
Ability to establish professional and harmonious working relationships on all projects and with all parties involved.
Subject to drug and alcohol testing in accordance with the Fond du Lac Reservation’s Personnel Policies.
Subject to pre-employment and annual background checks.
Subject to immunization review and submitted proof of required vaccinations.
PHYSICAL REQUIREMENTS:

• Normal physical requirements.

T he Fond du Lac Band of Lake Superior Chippewa, Nagaajiwanaang ( Where the water stops ), is one of the six Bands of the Minnesota Chippewa Tribe and a proud sovereign Ojibwe nation. We strive to be a diverse , supportive , and inclusive workforce that employs Fond du Lac Band members, native peoples , and those from our surrounding communities .

As one of Carlton County's largest employers, the Fond du Lac Band is dedicated to elevating the community through a broad spectrum of programs and enterprises including our gaming facilities, tribal government, health services, and education that promot es our language, culture, and the preservation of our natural resources .

The Fond du Lac Band is a n employer that cultivate s the growth of our employees and our programs ; a place where you can develop your skills and gain experience that will positively impact the lives of those who call the Fond du Lac Band home. Our hiring practices follow tribal employment rights outlined in Fond du Lac O rdinance #12/94 (TERO).

Join the Fond du Lac Band of Lake Superior Chippewa in our mission to preserve and promote our community while contributing to its vibrant future.