Medical Billing and Coding Coordinator

Hiring Preference: The Kalispel Tribe of Indians is an Equal opportunity employer. Consistent with federal law, the Kalispel Tribe of Indians applies Indian preference in employment. It is the policy of the Kalispel Tribe of Indians to give preference in hiring, promotions, and transfers into vacant positions to qualified applicants in the following order: 1) Kalispel Tribal Members; 2) Descendant or Spouse of an enrolled Kalispel Tribal Member; 3) enrolled members of other Indian Tribes; 4) all other applicants. At-Will Employment: Employment with the Kalispel Tribe of Indians is at-will and can be terminated with or without cause, and with or without notice, at any time, either at the option of the employee or the Kalispel Tribe of Indians. Drug Testing: The Kalispel Tribe of Indians is a drug free workplace. All applicants are subject to drug testing at the time of hire and at unannounced times during employment. Background Investigation: All candidates and employees may be subject to a background investigation.

Summary of Functions

Responsible for the coordination of all patients and insurance coding, billing, and credentialing for the Kalispel Tribe of Indians Camas Paths Behavioral Health, Medical and Dental Departments by performing the following duties:

Essential Duties and Responsibilities

• Responsible for coding, billing, and credentialing for Camas Path’s Medical division which includes medical, physical therapy, massage therapy, and chiropractor services.
• Responsible for coding, billing, and credentialing for Camas Path’s Dental division.
• Responsible for coding, billing, and credentialing for Camas Path’s Behavioral Health division which includes Substance use, Mental Health and EAP services.
• Reviews ICD-10/CPT codes on all claims in preparation for processing electronic claims.
• Verifies patient’s insurance information either through the medical billing system or other online resources.
• Responsible for HIPPA compliance procedures.
• Adhere to all applicable tribal, federal, or state privacy laws and regulations, including but not limited HIPPA and 42 CFR Part 2
• Oversight and follow up with Camas Path’s accounts receivable (AR) balances.
• Provide regular status updates to the CFO on billing and collection efforts of the Camas Path AR balances.
• Responsible for updating billing rates for services provided
• Responsible for updating the sliding fee scale for services on an annual basis
• Responsible for maintaining a consistent, regular good attendance record.
• This job description does not list all the duties of this position. You may be instructed by management to perform other duties as assigned
• Duties, responsibilities, requirements, and expectations pertaining to this job are subject to change as needed.

Education

• High School Diploma or GED and any of the following certifications:  Certified Professional Biller, Certified Professional Coder, Certified Coding Specialist

Skills 

• Must be computer literate with working knowledge of Microsoft programs and other computer software.
• Knowledge of Centricity, Dentrix and Insync preferred
• Must have through knowledge of the Medical and Dental Billing Systems
• Ability to calculate figures and amounts such as discounts, interest, commissions proportions, and percentages.
• Ability to apply commons sense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.
• Ability to work within a team environment.
• Ability to maintain confidentiality.

Physical Demands

• Requires the ability to lift and/or move objects weighing up to 25 pounds.
• Constantly requires the ability to give and receive detailed information through verbal communication.
• Constantly requires verbally expressing or exchanging ideas of important instructions accurately, loudly, or quickly.
• Constantly requires working with fingers rather than the whole hand or arm.
• Constantly requires repetitive movement of the wrists, hands and/or fingers.
• Occasionally requires standing and/or sitting for sustained periods of time.
• Occasionally requires raising objects from a lower to a higher position or moving objects horizontally.
• Occasionally requires stooping which entails the use of the lower extremities and back muscles.  Infrequently requires crouching.
• Specific vision abilities required by this job include close vision, distance vision, color vision, and the ability to adjust focus.

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.

While performing the duties of this job, the worker is frequently subject to inside environmental conditions, which provide protection from weather conditions, but not necessarily from temperature changes.  The noise level in the work environment is usually moderate.

Disclaimer: Certain Licenses and Certification requirements can be obtained once hired.